Individual provider Active NPI

Makenna Musson, FNP-BC

  • Family Nurse Practitioner
  • Placentia, CA
National Provider Identifier
1053289074
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95036865 Issued in CA
Practice address
300 E Yorba Linda Blvd Ste B
Placentia, CA 92870-2910
Phone
(714) 924-3404
NPI assigned
Oct 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 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 95036865 CA Primary

Addresses

Primary practice location

300 E Yorba Linda Blvd Ste B
Placentia, CA 92870-2910

Mailing address

300 E Yorba Linda Blvd Ste B
Placentia, CA 92870-2910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251128000643 CA Practitioner - Nurse Practitioner 1557853447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16015 Mart Dr
La Mirada, CA 90638-4203

300 E Yorba Linda Blvd
Suite B
Placentia, CA 92870-2910

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95036865CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prosperite Health CurrentSince Nov 1, 2025 Accepting new patients

Locations

300 E Yorba Linda Blvd
Ste B
Placentia, CA 92870
Phone (714) 749-4222

1400 N Kraemer Blvd
Unit 96
Placentia, CA 92871

300 E Yorba Linda Blvd
Placentia, CA 92870
Phone (714) 524-0207

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": "1761696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1053289074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E YORBA LINDA BLVD STE B",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928702910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E YORBA LINDA BLVD STE B",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928702910",
            "telephone_number": "714-924-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSSON",
        "first_name": "MAKENNA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-29",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95036865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

Verify at the official NPI Registry.