Individual provider Active NPI

Renee M. Pimentel, NP

  • Family Nurse Practitioner
  • Patterson, CA
National Provider Identifier
1124335732
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19156 Issued in CA
Practice address
1010 Sperry Ave Ste D
Patterson, CA 95363-9297
Phone
(209) 892-3111
Fax
(209) 892-3112
NPI assigned
Sep 2, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 19156 CA Primary
Nurse Practitioner 363L00000X 19156 CA

Addresses

Primary practice location

1010 Sperry Ave Ste D
Patterson, CA 95363-9297

Mailing address

1010 Sperry Ave Ste D
Patterson, CA 95363-9297
Phone (209) 892-3111

Other practice location 1

1908 Coffee Rd
Suite 3
Modesto, CA 95355-2719
Phone (209) 529-1542

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
I20221026001628 CA Practitioner - Nurse Practitioner 1557737905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patterson Urgent Care IncGroup PAC ID 4183849128, 2 clinicians

Practice addresses (Care Compare)

1010 Sperry Ave
Suite D
Patterson, CA 95363-9297
Phone (209) 892-3111

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Patterson Urgent Care Inc Single Specialty CurrentSince Aug 4, 2024 Accepting new patients
Turlock Urgent Care Single Specialty PastSince Sep 8, 2019 Accepting new patients

Locations

1010 Sperry Ave
Ste D
Patterson, CA 95363
Phone (209) 803-6006

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": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1124335732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 SPERRY AVE STE D",
            "city": "PATTERSON",
            "state": "CA",
            "postal_code": "953639297",
            "telephone_number": "209-892-3111",
            "fax_number": "209-892-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 SPERRY AVE STE D",
            "city": "PATTERSON",
            "state": "CA",
            "postal_code": "953639297",
            "telephone_number": "209-892-3111",
            "fax_number": "209-892-3112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1908 Coffee Rd",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953552719",
            "country_code": "US",
            "telephone_number": "209-529-1542",
            "fax_number": "209-529-1129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIMENTEL",
        "first_name": "RENEE",
        "middle_name": "M.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-02",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "19156",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "19156",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patterson, CA

Sources for this page

Verify at the official NPI Registry.