Individual provider Active NPI

Moncy Rachel John, FNP

  • Family Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1043634686
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23810 Issued in CA
Practice address
5401 White LN
Bakersfield, CA 93309-6279
Phone
(661) 396-7100
Fax
(661) 397-1796
NPI assigned
Feb 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 23810 CA Primary

Addresses

Primary practice location

5401 White LN
Bakersfield, CA 93309-6279

Mailing address

5401 White LN
Bakersfield, CA 93309-6279
Phone (661) 396-7100

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
I20161123000059 CA Practitioner - Nurse Practitioner 1658650221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Family HealthGroup PAC ID 9234176363, 93 clinicians

Practice addresses (Care Compare)

277 E Front St
Buttonwillow, CA 93206-0917
Phone (866) 707-6664

4151 Mexicali Dr
Bakersfield, CA 93313-2065
Phone (866) 707-6664

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23810CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Family Health CurrentSince Nov 1, 2016 Accepting new patients
Omni Family Health CurrentSince Nov 1, 2016 Accepting new patients
Omni Family Health Current Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
Omni Family Health Past Accepting new patients

Locations

4600 Panama Ln
Unit 102B
Bakersfield, CA 93313
Phone (661) 630-7732

1701 Stine Rd
Bakersfield, CA 93309
Phone (661) 770-3317

4151 Mexicali Dr
Bakersfield, CA 93313

4131 Ming Ave
Bakersfield, CA 93309

4900 California Ave
Ste 400B
Bakersfield, CA 93309
Phone (661) 630-7046

277 E Front St
Buttonwillow, CA 93206
Phone (661) 630-7381

655 S Central Valley Hwy
Shafter, CA 93263
Phone (661) 459-1927

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: moncy.john.p1@direct.omnifamilyhealth.nextgenshare.com

Organizations & group practices 5

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": "1392681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1043634686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 WHITE LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933096279",
            "telephone_number": "661-396-7100",
            "fax_number": "661-397-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 WHITE LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933096279",
            "telephone_number": "661-396-7100",
            "fax_number": "661-397-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "MONCY",
        "middle_name": "RACHEL",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "23810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.