Individual provider Active NPI

Tessa Leone Shuler, FNP-C

  • Internal Medicine Physician
  • Oxnard, CA
National Provider Identifier
1104537638
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
F09221220 Issued in CA
Practice address
2241 Wankel Way
Oxnard, CA 93030-0190
Phone
(805) 983-0425
Fax
(805) 983-0414
NPI assigned
Dec 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X F09221220 CA Primary

Addresses

Primary practice location

2241 Wankel Way
Oxnard, CA 93030-0190

Mailing address

2241 Wankel Way
Oxnard, CA 93030-0190
Phone (805) 983-0425

Other names 1

  • Tessa La Rose Former name

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
I20231207002284 CA Practitioner - Nurse Practitioner 8921457508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2241 Wankel Way
Suite B
Oxnard, CA 93030-0191

235 S Padre Juan Ave
Ojai, CA 93023-2229

Hospital & facility affiliations

  • Mission Home Health of Ventura, LLC Home health agency, Oxnard, CA, CCN 557219
  • Livingston Memorial Visiting Nurse Association Home health agency, Ventura, CA, CCN 057040
  • St Johns Regional Medical Center Hospital, Oxnard, CA, CCN 050082

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F09221220CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Coast Physicians Inc Internal Medicine CurrentSince Sep 24, 2023 Accepting new patients

Locations

2486 N Ponderosa Dr
Ste D114
Camarillo, CA 93010
Phone (805) 484-2783

2241 Wankel Way
Ste B
Oxnard, CA 93030
Phone (805) 263-7492

2241 Wankel Way
Oxnard, CA 93030
Phone (805) 983-0425

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4ba49078-9665-4e9e-a0c8-bbc03a3add1d/

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1104537638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 WANKEL WAY",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930300190",
            "telephone_number": "805-983-0425",
            "fax_number": "805-983-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 WANKEL WAY",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930300190",
            "telephone_number": "805-983-0425",
            "fax_number": "805-983-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULER",
        "first_name": "TESSA",
        "middle_name": "LEONE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "F09221220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TESSA",
            "last_name": "LA ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.