Individual provider Active NPI

Abigale Joann Schucker, RN-BSN, DNP

  • Nurse Practitioner
  • Huntington Beach, CA
National Provider Identifier
1194468934
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95027184 Issued in CA
Practice address
9131 Adams Ave
Huntington Beach, CA 92646-3462
Phone
(714) 845-5900
Fax
(714) 845-5922
NPI assigned
Apr 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 95027184 CA
Primary Care Nurse Practitioner 363LP2300X 95027184 CA
Nurse Practitioner 363L00000X 95027184 CA Primary

Addresses

Primary practice location

9131 Adams Ave
Huntington Beach, CA 92646-3462

Mailing address

PO Box 15775
Newport Beach, CA 92659-5775
Phone (657) 241-3600

Other practice location 1

2001 Westcliff Dr Ste 200
Newport Beach, CA 92660-5552
Phone (714) 845-5900

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
I20231117001047 CA Practitioner - Nurse Practitioner 2365899036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Loma Linda University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beach Family Doctors Medical GroupGroup PAC ID 4981647518, 12 clinicians

Practice addresses (Care Compare)

9131 Adams Ave
Huntington Beach, CA 92646-3462
Phone (714) 845-5900

Hospital & facility affiliations

  • Memorialcare Orange Coast Medical Center Hospital, Fountain Valley, CA, CCN 050678
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95027184CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beach Family Doctors Medical Group CurrentSince Dec 4, 2023 Accepting new patients
Beach Family Doctors Medical Group CurrentSince Dec 4, 2023 Accepting new patients
Beach Family Doctors Medical Group Past Accepting new patients

Locations

9131 Adams Ave
Huntington Beach, CA 92646
Phone (714) 845-5900

2001 Westcliff Dr
Ste 200
Newport Beach, CA 92660
Phone (714) 845-5900

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1194468934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15775",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926595775",
            "telephone_number": "657-241-3600",
            "fax_number": "657-241-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9131 ADAMS AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926463462",
            "telephone_number": "714-845-5900",
            "fax_number": "714-845-5922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Westcliff Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926605552",
            "country_code": "US",
            "telephone_number": "714-845-5900",
            "fax_number": "714-845-5920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHUCKER",
        "first_name": "ABIGALE",
        "middle_name": "JOANN",
        "credential": "RN-BSN, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-19",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95027184",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95027184",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95027184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.