Active NPI
Anne Caitlin McMullen, NP
- Nurse Practitioner
- Stanford, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95010249
- Practice address
- 300 Pasteur Dr
Stanford, CA 94305-2200 - Phone
- (650) 723-4000
- NPI assigned
- Oct 27, 2018
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95168710 | CA | |
| Nurse Practitioner | 363L00000X | 95010249 | CA | Primary |
Addresses
Primary practice location
300 Pasteur Dr
Stanford, CA 94305-2200
Mailing address
300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP9501024 | Other | CA | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95168710 | CA | MD | Registered Nurse |
| 95010249 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiovascular Center at Tufts Medical Center, Inc. | Current | Accepting new patients | |
| Sansum Clinic | Current | Accepting new patients | |
| Sansum Clinic | Current | Accepting new patients | |
| Sansum Clinic | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients | |
| County of San Mateo | Current | Accepting new patients | |
| County of San Mateo | Current | Accepting new patients | |
| Cep America-California | Current | Accepting new patients | |
| Stanford Health Care | Current | Accepting new patients | |
| County of San Mateo | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
170 Alameda de las Pulgas
Redwood City, CA 94062
Phone (650) 367-5536
222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222
215 Pesetas Ln
Santa Barbara, CA 93110
Phone (805) 681-1765
317 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 681-7500
300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710
800 Washington St
#1
Boston, MA 02111
800 Washington St
Boston, MA 02111
Phone (617) 636-4800
Organizations & group practices 11
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.
-
- Cardiovascular Disease Physician
- Boston, MA
- NPI 1447764253
-
dba San Mateo Medical Center
- Multi-Specialty Clinic/Center
- San Mateo, CA
- NPI 1679642326
-
dba San Mateo Medical Center
- Multi-Specialty Clinic/Center
- San Mateo, CA
- NPI 1831268580
-
- Multi-Specialty Clinic/Center
- Santa Barbara, CA
- NPI 1154354504
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
-
- Ambulatory Surgical Clinic/Center
- Santa Barbara, CA
- NPI 1144648015
-
- Multi-Specialty Clinic/Center
- Santa Barbara, CA
- NPI 1932121514
-
dba Stanford Medical Center A Trade Name for Stanford Health Care
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tufts Medical Center
- General Acute Care Hospital
- Boston, MA
- NPI 1730132515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659657600000",
"number": "1174090161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-723-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-723-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMULLEN",
"first_name": "ANNE",
"middle_name": "CAITLIN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-27",
"last_updated": "2022-08-05",
"certification_date": "2022-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95168710",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95010249",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "NP9501024",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.