Individual provider Active NPI

Anna Amour Ross, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Oceanside, CA
National Provider Identifier
1053662841
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95008598 Issued in CA
Practice address
1300 Rancho del Oro Rd
Oceanside, CA 92056-1729
Phone
(760) 643-2077
NPI assigned
Sep 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 202107683RN OR
Psychiatric/Mental Health Registered Nurse 163WP0808X R135224 MD
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X R135224 MD
Nurse Practitioner 363L00000X 246060 AZ
Nurse Practitioner 363L00000X 95008598 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R135224 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61094357 WA
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X AP61094357 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95008598 CA Primary

Addresses

Primary practice location

1300 Rancho del Oro Rd
Oceanside, CA 92056-1729

Mailing address

2437 Via del Aquacate
Fallbrook, CA 92028-8274
Phone (202) 286-6579

Other practice location 1

2437 Via Del Aquacate
Fallbrook, CA 92028-8274
Phone (202) 286-6579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, CA, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20201130002121 MD Practitioner - Nurse Practitioner 9234351172
I20220713001495 CA Practitioner - Nurse Practitioner 9234351172 Reassigns benefits to 1 organization
I20241112003219 WA Practitioner - Nurse Practitioner 9234351172

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2437 Via del Aquacate
Fallbrook, CA 92028-8274
Phone (202) 286-6579

4660 La Jolla Village Dr
Suite 100And200
San Diego, CA 92122-4601

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202107683RNORMDAdult Psychiatric/Mental Health Registered Nurse
246060AZMDNurse Practitioner
95008598CAMDPsychiatric/Mental Health Nurse Practitioner
R135224MDMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Access Psych Meds, a Professional Nursing Corporation Psychiatric/Mental Health CurrentSince May 29, 2022 Accepting new patients

Organizations & group practices 2

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": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1053662841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2437 VIA DEL AQUACATE",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920288274",
            "telephone_number": "202-286-6579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 RANCHO DEL ORO RD",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920561729",
            "telephone_number": "760-643-2077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2437 Via Del Aquacate",
            "address_purpose": "LOCATION",
            "city": "Fallbrook",
            "state": "CA",
            "postal_code": "920288274",
            "country_code": "US",
            "telephone_number": "202-286-6579",
            "fax_number": "888-823-5733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "ANNA",
        "middle_name": "AMOUR",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "OR",
            "license": "202107683RN",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R135224",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R135224",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "246060",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95008598",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R135224",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61094357",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "WA",
            "license": "AP61094357",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95008598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.