Individual provider Active NPI

Anna Vladimirovna Verner, FNP

  • Family Nurse Practitioner
  • La Mesa, CA
National Provider Identifier
1093484115
Registry record updated Sep 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95018323 Issued in CA
Practice address
8737 Fletcher Pkwy Apt 474
La Mesa, CA 91942-3237
Phone
(619) 496-9685
NPI assigned
Sep 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2021

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 95018323 CA Primary

Addresses

Primary practice location

8737 Fletcher Pkwy Apt 474
La Mesa, CA 91942-3237

Mailing address

8737 Fletcher Pkwy Apt 474
La Mesa, CA 91942-3237
Phone (619) 496-9685

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
I20221018003246 CA Practitioner - Nurse Practitioner 3173999000 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95018323CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Care CurrentSince Oct 4, 2024 Accepting new patients
Central Health Plan of California, Inc. CurrentSince Oct 4, 2024 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

Interoperability endpoints

  • Direct secure messaging: averner13947@direct-prd.molinahealthcare.com

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": "1631318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631318400000",
    "number": "1093484115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8737 FLETCHER PKWY APT 474",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423237",
            "telephone_number": "619-496-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8737 FLETCHER PKWY APT 474",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423237",
            "telephone_number": "619-496-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNER",
        "first_name": "ANNA",
        "middle_name": "VLADIMIROVNA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-11",
        "last_updated": "2021-09-11",
        "certification_date": "2021-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95018323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.