NPIMap

Individual provider Active NPI

Andrew K Chinnock, FNP

  • Nurse Practitioner
  • Petaluma, CA
National Provider Identifier
1174844674
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
18998 Issued in CA
Practice address
400 N McDowell Blvd
Petaluma, CA 94954-2339
Phone
(707) 776-8066
NPI assigned
Jun 18, 2010
Last updated
Jun 18, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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 18998 CA Primary

Addresses

Primary practice location

400 N McDowell Blvd
Petaluma, CA 94954-2339

Mailing address

5000 Hopyard Rd
Suite 100
Pleasanton, CA 94588-3146
Phone (925) 924-1600

Other identifiers 1

IdentifierTypeStateIssuer
18998OtherCAFNP LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100908000285 CA Practitioner - Nurse Practitioner 1951425321 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1100 Trancas St
Suite 240
Napa, CA 94558-2909
Phone (707) 253-1036

15630 18TH Ave
Clearlake, CA 95422-9336
Phone (707) 994-6486

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.74 of 100Reported as group
Quality
94
Promoting interoperability
92
Improvement activities
40
Cost
65.12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Clearlake Hospital Inc. CurrentSince Nov 3, 2025 Accepting new patients
Adventist Health Physicians Network CurrentSince Apr 16, 2017 Accepting new patients
Adventist Health Physicians Network CurrentSince Apr 16, 2017 Accepting new patients
Quantum Healthcare Medical Associates Inc. Past Accepting new patients
Adventist Health Clearlake Hospital, Inc Past Accepting new patients

Locations

913 Washington St
Calistoga, CA 94515
Phone (707) 942-0844

15230 Lakeshore Dr
Clearlake, CA 95422
Phone (707) 995-4500

15322 Lakeshore Dr
Ste 102
Clearlake, CA 95422
Phone (707) 994-2030

15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820

1100 Trancas St
Ste 240
Napa, CA 94558
Phone (707) 253-1036

821 Saint Helena Hwy S
#208
Saint Helena, CA 94574

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1174844674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 HOPYARD RD",
            "address_2": "SUITE 100",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883146",
            "telephone_number": "925-924-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N MCDOWELL BLVD",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949542339",
            "telephone_number": "707-776-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINNOCK",
        "first_name": "ANDREW",
        "middle_name": "K",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-18",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "18998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP LICENSE",
            "identifier": "18998",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

Verify at the official NPI Registry.