Active NPI
Moncy Rachel John, FNP
- Family Nurse Practitioner
- Bakersfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 23810
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23810 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omni Family Health | Current | Accepting new patients | |
| Omni Family Health | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Buttonwillow, CA
- NPI 1700891660
-
- Federally Qualified Health Center (FQHC)
- Wasco, CA
- NPI 1689688004
-
- Federally Qualified Health Center (FQHC)
- Bakersfield, CA
- NPI 1770399669
-
- Institutional Pharmacy
- Bakersfield, CA
- NPI 1144256363
-
- Federally Qualified Health Center (FQHC)
- Delano, CA
- NPI 1417962457
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.