Individual provider Active NPI

Patricia Ann Paulhus, N.P.

  • Nurse Practitioner
  • Hemet, CA
National Provider Identifier
1326310640
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
20655 Issued in CA
Practice address
1011 E Devonshire Ave
Suite 201
Hemet, CA 92543-3033
Phone
(951) 652-3558
Fax
(951) 652-5547
NPI assigned
Feb 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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 20655 CA Primary

Addresses

Primary practice location

1011 E Devonshire Ave
Suite 201
Hemet, CA 92543-3033

Mailing address

3660 Park Sierra Dr
Suite 203
Riverside, CA 92505-3081
Phone (951) 687-3400

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
I20121002000625 CA Practitioner - Nurse Practitioner 2062661390 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates Medical Group IncGroup PAC ID 5092604447, 64 clinicians

Practice addresses (Care Compare)

3660 Park Sierra Dr
Suite 208
Riverside, CA 92505-3071
Phone (951) 687-2800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20655CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates Medical Group Inc CurrentSince Jul 10, 2012 Accepting new patients
Temecula Valley Hospitalist Medical Group, Inc. CurrentSince Oct 18, 2014 Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Menifee Valley Medical Center Past Accepting new patients
Nephrology Associates Medical Group, Inc. Past Accepting new patients
Physicians' Hospital of Murrieta, LLC Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
San Gorgonio Memorial Hospital Past Accepting new patients

Locations

1011 E Devonshire Ave
Ste 201
Hemet, CA 92543
Phone (951) 465-7390

29878 Haun Rd
Ste 200
Menifee, CA 92586
Phone (951) 672-7967

3660 Park Sierra Dr
Ste 203
Riverside, CA 92505
Phone (951) 687-3400

3660 Park Sierra Dr
Ste 208
Riverside, CA 92505
Phone (951) 687-2800

27851 Bradley Rd
Ste 125
Sun City, CA 92586
Phone (951) 672-4829

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ppaulhus257010@direct.llu.edu
  • Direct secure messaging: patricia.paulhus.1@19859.direct.athenahealth.com

Organizations & group practices 8

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": "1328054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1326310640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 PARK SIERRA DR",
            "address_2": "SUITE 203",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053081",
            "telephone_number": "951-687-3400",
            "fax_number": "951-687-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 E DEVONSHIRE AVE",
            "address_2": "SUITE 201",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433033",
            "telephone_number": "951-652-3558",
            "fax_number": "951-652-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULHUS",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "20655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.