Individual provider Active NPI

Wendy Ann Marussich, PMHNP, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1316635956
Registry record updated May 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95021941 Issued in CA
Practice address
360 Post St Ste 500
San Francisco, CA 94108-4908
Phone
(866) 798-9374
Fax
(415) 964-5419
NPI assigned
May 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Registered Nurse 163WX0200X 95083578 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NPF95021941 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95021941 CA Primary
Oncology Registered Nurse 163WX0200X 160090 AZ

Addresses

Primary practice location

360 Post St Ste 500
San Francisco, CA 94108-4908

Mailing address

360 Post St Ste 500
San Francisco, CA 94108-4908
Phone (866) 798-9374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231111000347 NY Practitioner - Nurse Practitioner 3072960186 Reassigns benefits to 3 organizations
I20240926002181 CA Practitioner - Nurse Practitioner 3072960186 Reassigns benefits to 1 organization

Care Compare profile

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

Practice addresses (Care Compare)

360 Post St
Suite 1000
San Francisco, CA 94108-4913
Phone (415) 964-5137

Merit-based Incentive Payment System (MIPS)

Final score
73.61 of 100Reported as group
Quality
70.88
Improvement activities
40
Cost
46.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
160090AZMDOncology Registered Nurse
95021941CAMDPsychiatric/Mental Health Nurse Practitioner
NPF95021941CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Medical Consultation Group CurrentSince Oct 1, 2023 Accepting new patients
Memorial Neurology Group CurrentSince Oct 1, 2023 Accepting new patients
Mindful Health Solutions a Professional Medical Corporation CurrentSince Sep 17, 2024 Accepting new patients
Memorial Psychiatry Group CurrentSince Oct 1, 2023 Accepting new patients

Locations

1020 Suncast Ln
Ste 108
El Dorado Hills, CA 95762
Phone (916) 932-0380

3300 Webster St
Ste 803
Oakland, CA 94609

45 Castro St
Ste 318
San Francisco, CA 94114
Phone (415) 431-9555

360 Post St
Ste 500
San Francisco, CA 94108
Phone (415) 671-6819

360 Post St
Ste 1000
San Francisco, CA 94108
Phone (415) 964-5137

350 Parnassus Ave
Ste 201
San Francisco, CA 94117
Phone (415) 964-5137

205 E 64th St
New York, NY 10065
Phone (212) 639-3127

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

633 3rd Ave
Fl 4
New York, NY 10017
Phone (646) 227-3764

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 4

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": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748649600000",
    "number": "1316635956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 POST ST STE 500",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084908",
            "telephone_number": "866-798-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 POST ST STE 500",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084908",
            "telephone_number": "866-798-9374",
            "fax_number": "415-964-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARUSSICH",
        "first_name": "WENDY",
        "middle_name": "ANN",
        "credential": "PMHNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2025-05-31",
        "certification_date": "2025-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Oncology",
            "state": "CA",
            "license": "95083578",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NPF95021941",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95021941",
            "primary": true
        },
        {
            "code": "163WX0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Oncology",
            "state": "AZ",
            "license": "160090",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.