Individual provider Active NPI

Raelyn Nicole Hamman, NP-C

  • Family Nurse Practitioner
  • Atascadero, CA
National Provider Identifier
1043805047
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95016823 Issued in CA
Practice address
8065 Cristobal Ave
Atascadero, CA 93422-5163
Phone
(408) 202-4130
NPI assigned
Mar 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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 95016823 CA Primary

Addresses

Primary practice location

8065 Cristobal Ave
Atascadero, CA 93422-5163

Mailing address

8065 Cristobal Ave
Atascadero, CA 93422-5163
Phone (408) 202-4130

Other names 1

  • Raelyn Nicole Ferry 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
I20210319001115 CA Practitioner - Nurse Practitioner 9638586522 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Dave Griffith IncGroup PAC ID 8729473061, 3 clinicians

Practice addresses (Care Compare)

6855 Kathryn Dr
Cambria, CA 93428-2015
Phone (805) 440-3283

8065 Cristobal Ave
Atascadero, CA 93422-5163
Phone (408) 202-4130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95016823CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Dave Griffith Inc CurrentSince Apr 24, 2025 Accepting new patients
West Coast Wound and Skin Care Inc CurrentSince Mar 1, 2022 Accepting new patients

Locations

2501 W Burbank Blvd
Ste 200
Burbank, CA 91505
Phone (818) 732-8272

1821 E Chapman Ave
Fullerton, CA 92831
Phone (714) 879-7301

3615 E Imperial Hwy
Lynwood, CA 90262
Phone (310) 639-4623

Organizations & group practices 3

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": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1043805047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8065 CRISTOBAL AVE",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934225163",
            "telephone_number": "408-202-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8065 CRISTOBAL AVE",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934225163",
            "telephone_number": "408-202-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMAN",
        "first_name": "RAELYN",
        "middle_name": "NICOLE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95016823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAELYN",
            "last_name": "FERRY",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atascadero, CA

Sources for this page

Verify at the official NPI Registry.