Individual provider Active NPI

Nancy Bell Allen, FNP

  • Family Nurse Practitioner
  • Santa Rosa, CA
National Provider Identifier
1053341354
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7036 Issued in CA
Practice address
751 Lombardi CT
Suite a
Santa Rosa, CA 95407-6793
Phone
(707) 547-2266
Fax
(707) 524-2473
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 7036 CA Primary

Addresses

Primary practice location

751 Lombardi CT
Suite a
Santa Rosa, CA 95407-6793

Mailing address

751 Lombardi CT
Suite a
Santa Rosa, CA 95407-6793
Phone (707) 547-2266

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
I20120821001100 CA Practitioner - Nurse Practitioner 7911154240 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7036CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Western Sierra Medical Clinic, Inc. CurrentSince Oct 1, 2022 Accepting new patients
Western Sierra Medical Clinic, Inc. Current Accepting new patients
Western Sierra Medical Clinic, Inc. CurrentSince Oct 1, 2022 Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients

Locations

3111 Professional Dr
Auburn, CA 95603
Phone (530) 274-9762

844 Old Tunnel Rd
Grass Valley, CA 95945
Phone (530) 273-4984

1345 Whispering Pines Ln
Grass Valley, CA 95945
Phone (530) 265-7895

Interoperability endpoints

  • Direct secure messaging: nancy.allen@wsmc1.eclinicaldirectplus.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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053341354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 LOMBARDI CT",
            "address_2": "SUITE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954076793",
            "telephone_number": "707-547-2266",
            "fax_number": "707-524-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 LOMBARDI CT",
            "address_2": "SUITE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954076793",
            "telephone_number": "707-547-2266",
            "fax_number": "707-524-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "NANCY",
        "middle_name": "BELL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "7036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.