Individual provider Active NPI

Michelle Leah Fawcett, NP

  • Primary Care Nurse Practitioner
  • Temecula, CA
National Provider Identifier
1164146908
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95022778 Issued in CA
Practice address
31493 Rancho Pueblo Rd Ste 206
Temecula, CA 92592-4833
Phone
(951) 693-9678
Fax
(951) 302-7710
NPI assigned
Sep 26, 2022
Last updated
Sep 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95022778 CA Primary

Addresses

Primary practice location

31493 Rancho Pueblo Rd Ste 206
Temecula, CA 92592-4833

Mailing address

31493 Rancho Pueblo Rd Ste 206
Temecula, CA 92592-4833
Phone (951) 693-9678

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
I20250528000760 CA Practitioner - Nurse Practitioner 6800315326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Richard E Uhler DO, IncGroup PAC ID 0042383283, 2 clinicians

Practice addresses (Care Compare)

31493 Rancho Pueblo Rd
Suite 206
Temecula, CA 92592-4832
Phone (951) 693-9678

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95036610CAMDFamily Nurse Practitioner
95022778CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Richard E Uhler DO, Inc CurrentSince Mar 1, 2025 Accepting new patients

Locations

27720 Jefferson Ave
Ste 100B
Temecula, CA 92590
Phone (951) 587-3739

31493 Rancho Pueblo Rd
Ste 206
Temecula, CA 92592
Phone (951) 303-6158

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECBJBA/Endpoint/ECBJBA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1164146908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31493 RANCHO PUEBLO RD STE 206",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925924833",
            "telephone_number": "951-693-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31493 RANCHO PUEBLO RD STE 206",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925924833",
            "telephone_number": "951-693-9678",
            "fax_number": "951-302-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAWCETT",
        "first_name": "MICHELLE",
        "middle_name": "LEAH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95022778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.