Individual provider Active NPI

Charla Caye Reece, AGACNP

  • Acute Care Nurse Practitioner
  • Oceanside, CA
National Provider Identifier
1043880750
Registry record updated Jun 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95017311 Issued in CA
Practice address
703 Valley Crest Dr
Oceanside, CA 92058-7442
Phone
(760) 525-3512
NPI assigned
Jun 26, 2021
Last updated
Jun 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95017311 CA Primary

Addresses

Primary practice location

703 Valley Crest Dr
Oceanside, CA 92058-7442

Mailing address

703 Valley Crest Dr
Oceanside, CA 92058-7442
Phone (760) 525-3512

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
I20221207002051 CA Practitioner - Nurse Practitioner 3870962228 Reassigns benefits to 2 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
Palomar Hospitalist Medical Group IncGroup PAC ID 3678978269, 53 clinicians

Practice addresses (Care Compare)

15615 Pomerado Rd
Poway, CA 92064-2405
Phone (310) 379-2134

2185 Citracado Pkwy
Escondido, CA 92029-4159
Phone (310) 379-2134

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.32 of 100Reported as group
Improvement activities
40
Cost
76.64

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Intensivists PC CurrentSince Dec 1, 2022 Accepting new patients
Cep America - Intensivists PC CurrentSince Dec 1, 2022 Accepting new patients
Palomar Hospitalist Medical Group, Inc CurrentSince Aug 31, 2022 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

15615 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1624665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624665600000",
    "number": "1043880750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 VALLEY CREST DR",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920587442",
            "telephone_number": "760-525-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 VALLEY CREST DR",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920587442",
            "telephone_number": "760-525-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REECE",
        "first_name": "CHARLA",
        "middle_name": "CAYE",
        "credential": "AGACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-26",
        "last_updated": "2021-06-26",
        "certification_date": "2021-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95017311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.