Individual provider Active NPI

Marcine Ann Schreckengost, NP-C

  • Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1154591444
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP15043 Issued in CA
Practice address
1313 E Herndon Ave
Suite 203
Fresno, CA 93720-3306
Phone
(559) 439-6808
Fax
(559) 431-7225
NPI assigned
Mar 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP15043 CA Primary

Addresses

Primary practice location

1313 E Herndon Ave
Suite 203
Fresno, CA 93720-3306

Mailing address

1313 E Herndon Ave
Suite 203
Fresno, CA 93720-3306
Phone (559) 439-6808

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
I20111020000250 CA Practitioner - Nurse Practitioner 6103003835 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP15043CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Associates-the Heart Group Medical Clinic Inc CurrentSince Aug 30, 2011 Accepting new patients
Community Foundation Medical Group Current Accepting new patients
Innovative Wound Care Inc CurrentSince Apr 1, 2025 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients

Locations

726 N Medical Center Dr E
Ste 125
Clovis, CA 93611
Phone (559) 439-6808

1313 E Herndon Ave
Ste 101B
Fresno, CA 93720

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

7033 N Fresno St
Ste 301
Fresno, CA 93720
Phone (559) 438-8181

1313 E Herndon Ave
Ste 203
Fresno, CA 93720
Phone (559) 439-6808

5150 N 6th St
Ste 100
Fresno, CA 93710
Phone (559) 222-5362

Interoperability endpoints

  • Direct secure messaging: marcine.schreckengost@379019700404228.direct.elationemr.com
  • Direct secure messaging: schreckengost.marcine.001.0050410@hgca.meditab.direct-ci.com

Organizations & group practices 4

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": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1154591444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 E HERNDON AVE",
            "address_2": "SUITE 203",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203306",
            "telephone_number": "559-439-6808",
            "fax_number": "559-431-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 E HERNDON AVE",
            "address_2": "SUITE 203",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203306",
            "telephone_number": "559-439-6808",
            "fax_number": "559-431-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRECKENGOST",
        "first_name": "MARCINE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP15043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.