Individual provider Active NPI

Renee Michelle Massicci, FNP-C

  • Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1144012139
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95037739 Issued in CA
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

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 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
I20260303002258 CA Practitioner - Nurse Practitioner 4486136199 Reassigns benefits to 1 organization

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
Central Valley Urgent Care Medical Group IncGroup PAC ID 8022901933, 6 clinicians

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

LicenseStateTypeSpecialty
95393670CAMDRegistered Nurse
95037739CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Valley Urgent Care Medical Group Inc CurrentSince Jan 11, 2026 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.