Individual provider Active NPI

Malinda Ackerman Krenn, FNP

  • Ambulatory Care Registered Nurse
  • Merced, CA
National Provider Identifier
1265560007
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care Registered NurseTaxonomy code 163WP2201X
License
RN332977 Issued in CA
Practice address
315 E 13TH St
Merced, CA 95340-6211
Phone
(209) 385-7060
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X RN332977 CA Primary

Addresses

Primary practice location

315 E 13TH St
Merced, CA 95340-6211

Mailing address

2153 Bennington CT
Merced, CA 95340-3375
Phone (209) 722-9055

Other identifiers 1

IdentifierTypeStateIssuer
RN332977OtherCANURSING LICENSE

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
I20091102000146 CA Practitioner - Nurse Practitioner 4587733001 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN332977CAMDAmbulatory Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Noble Group a Medical Corporation CurrentSince Aug 2, 2009 Accepting new patients
Dignity Health PastSince Aug 2, 2009 Accepting new patients

Locations

394 E Yosemite Ave
Merced, CA 95340
Phone (209) 383-3990

3144 G St
Ste 125
Merced, CA 95340
Phone (209) 383-3990

Organizations & group practices 2

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265560007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2153 BENNINGTON CT",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953403375",
            "telephone_number": "209-722-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E 13TH ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953406211",
            "telephone_number": "209-385-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRENN",
        "first_name": "MALINDA",
        "middle_name": "ACKERMAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "CA",
            "license": "RN332977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE",
            "identifier": "RN332977",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.