Individual provider Active NPI

Nancy Cisneros, FNP

  • Family Nurse Practitioner
  • Riverbank, CA
National Provider Identifier
1104414598
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95016313 Issued in CA
Practice address
2230 Cherry Tree LN
Riverbank, CA 95367-2105
Phone
(209) 380-4242
NPI assigned
Jan 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 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 95016313 CA Primary

Addresses

Primary practice location

2230 Cherry Tree LN
Riverbank, CA 95367-2105

Mailing address

2230 Cherry Tree LN
Riverbank, CA 95367-2105
Phone (209) 380-4242

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
I20210212002053 CA Practitioner - Nurse Practitioner 6901211556 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95016313CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lumira Healthcare CurrentSince Feb 18, 2021 Accepting new patients
Golden Valley Health Centers CurrentSince Aug 5, 2024 Accepting new patients
Golden Valley Health Centers Current Accepting new patients
Golden Valley Health Center CurrentSince Aug 5, 2024 Accepting new patients
Lumira Healthcare CurrentSince Feb 18, 2021 Accepting new patients
Lumira Healthcare Current Accepting new patients
Golden Valley Health Center Past Accepting new patients

Locations

1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111

2412 3rd St
Hughson, CA 95326
Phone (209) 558-7250

13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900

600 B St
Ste B
Livingston, CA 95334
Phone (209) 850-3500

1140 Main St
Livingston, CA 95334
Phone (209) 394-7913

821 Texas Ave
Los Banos, CA 93635
Phone (209) 385-5481

250 Northgate Dr
Manteca, CA 95336
Phone (209) 239-5299

797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871

847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441

3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104

1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071

2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 576-6766

401 Paradise Rd
Ste E103
Modesto, CA 95351

1114 6th St
Modesto, CA 95354
Phone (209) 576-2845

401 Paradise Rd
Ste E102
Modesto, CA 95351
Phone (209) 558-4000

401 Paradise Rd
Ste E101
Modesto, CA 95351

1121 Hammond St
Modesto, CA 95351
Phone (209) 576-4437

637 Merced St
Newman, CA 95360
Phone (209) 862-0270

200 C St
Patterson, CA 95363
Phone (209) 892-6307

9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253

4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 863-3900

1200 W Main St
Turlock, CA 95380
Phone (209) 668-5388

Interoperability endpoints

  • Direct secure messaging: nancy.cisneros.1@33563.direct.athenahealth.com
  • Direct secure messaging: nancy.cisnerosfnp.p3@direct.livingstoncommunity.nextgenshare.com

Organizations & group practices 7

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": "1609545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1104414598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 CHERRY TREE LN",
            "city": "RIVERBANK",
            "state": "CA",
            "postal_code": "953672105",
            "telephone_number": "209-380-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 CHERRY TREE LN",
            "city": "RIVERBANK",
            "state": "CA",
            "postal_code": "953672105",
            "telephone_number": "209-380-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISNEROS",
        "first_name": "NANCY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-02",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95016313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverbank, CA

Sources for this page

Verify at the official NPI Registry.