Individual provider Active NPI

Monica Rose Sprague, RN-CS, MSN, FNP

  • Family Nurse Practitioner
  • San Marcos, CA
National Provider Identifier
1265645709
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
437881 Issued in CA
Practice address
125 Vallecitos de Oro Ste a
San Marcos, CA 92069-1423
Phone
(760) 235-8784
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 437881 CA Primary

Addresses

Primary practice location

125 Vallecitos de Oro Ste a
San Marcos, CA 92069-1423

Mailing address

125 Vallecitos de Oro Ste a
San Marcos, CA 92069-1423
Phone (760) 235-8784

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
I20100914001163 CA Practitioner - Nurse Practitioner 4486779485 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
437881CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Housecall Doctors Medical Group Inc CurrentSince Feb 5, 2025 Accepting new patients
Mobile Medical Group Past Accepting new patients

Locations

3800 Kilroy Airport Way
Ste 270
Long Beach, CA 90806
Phone (949) 366-1053

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1265645709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 VALLECITOS DE ORO STE A",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920691423",
            "telephone_number": "760-235-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 VALLECITOS DE ORO STE A",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920691423",
            "telephone_number": "760-235-8784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRAGUE",
        "first_name": "MONICA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "RN-CS, MSN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "437881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

Verify at the official NPI Registry.