Active NPI
Angela Cricchio Hull, DNP
- Family Nurse Practitioner
- South San Francisco, CA
National Provider Identifier
1043473853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 21790
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peninsula Orthopedic Associates, Inc. | Current | Accepting new patients |
Locations
1850 Sullivan Ave
Ste 330
Daly City, CA 94015
Phone (650) 756-5630
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.