Active NPI
Renee Michelle Massicci, FNP-C
- Nurse Practitioner
- Fresno, CA
National Provider Identifier
1144012139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95037739
- Practice address
- 4177 W Shaw Ave Ste 107
Fresno, CA 93722-6221 - Phone
- (559) 225-4706
- NPI assigned
- May 19, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95037739 | CA | Primary |
| Registered Nurse | 163W00000X | 95393670 | CA |
Addresses
Primary practice location
4177 W Shaw Ave Ste 107
Fresno, CA 93722-6221
Mailing address
199 W Shields Ave
Fresno, CA 93705-4102
Phone (559) 225-4706
Other practice location 1
199 W Shields Ave
Fresno, CA 93705-4102
Phone (599) 225-4706
Other names 1
- Renee Michelle Chambers
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
199 W Shields Ave
Fresno, CA 93705-4102
Phone (559) 225-4706
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95393670 | CA | MD | Registered Nurse |
| 95037739 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Valley Urgent Care Medical Group Inc | Current | Accepting new patients |
Locations
199 W Shields Ave
Fresno, CA 93705
Phone (559) 225-4706
4177 W Shaw Ave
Ste 107
Fresno, CA 93722
Phone (559) 225-4706
Interoperability endpoints
- https://api.platform.athenahealth.com/11784/brand/1/csg/1/fhir/r4
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.
-
- Family Medicine Physician
- Fresno, CA
- NPI 1942294327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770336000000",
"number": "1144012139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 W SHIELDS AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937054102",
"telephone_number": "559-225-4706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4177 W SHAW AVE STE 107",
"city": "FRESNO",
"state": "CA",
"postal_code": "937226221",
"telephone_number": "559-225-4706"
}
],
"practiceLocations": [
{
"address_1": "199 W Shields Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937054102",
"country_code": "US",
"telephone_number": "599-225-4706",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MASSICCI",
"first_name": "RENEE",
"middle_name": "MICHELLE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-19",
"last_updated": "2026-02-06",
"certification_date": "2026-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95037739",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95393670",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RENEE",
"last_name": "CHAMBERS",
"middle_name": "MICHELLE",
"credential": "FNP-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.