Individual provider Active NPI

Angela Cricchio Hull, DNP

  • Family Nurse Practitioner
  • South San Francisco, CA
National Provider Identifier
1043473853
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21790 Issued in CA
Practice address
192 Beacon St
South San Francisco, CA 94080-6913
Phone
(650) 589-6500
Fax
(661) 678-4534
NPI assigned
Jul 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 654241 TX
Family Nurse Practitioner 363LF0000X 21790 CA Primary

Addresses

Primary practice location

192 Beacon St
South San Francisco, CA 94080-6913

Mailing address

192 Beacon St
South San Francisco, CA 94080-6913
Phone (650) 589-6500

Other names 1

  • Angela Michelle Cricchio Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150822014880 CA Practitioner - Nurse Practitioner 7416994983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Orthopedic Associates IncGroup PAC ID 7719974336, 18 clinicians

Practice addresses (Care Compare)

1850 Sullivan Ave
Daly City, CA 94015-2204
Phone (650) 756-5630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Orthopedic Associates, Inc. CurrentSince Jun 16, 2015 Accepting new patients

Locations

1850 Sullivan Ave
Ste 330
Daly City, CA 94015
Phone (650) 756-5630

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: peninsulaorthopedicassociates.angelahull@156663.advancedmd-direct.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1043473853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 BEACON ST",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940806913",
            "telephone_number": "650-589-6500",
            "fax_number": "661-678-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 BEACON ST",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940806913",
            "telephone_number": "650-589-6500",
            "fax_number": "661-678-4534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULL",
        "first_name": "ANGELA",
        "middle_name": "CRICCHIO",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "654241",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "21790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "CRICCHIO",
            "middle_name": "MICHELLE",
            "credential": "DNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in South San Francisco, CA

Sources for this page

Verify at the official NPI Registry.