Mae Pet Fetherlin, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95038618 Issued in CA

Practice address

1634 Plantation Way
El Cajon, CA 92019-3603

Phone

(619) 395-8558

NPI assigned

Feb 18, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Prax Medical Ca, PC

  • Nurse Practitioner
  • Sacramento, CA
  • NPI 1346051943

  Family

  Medicare reassignment NPD
• Extensive Healthcare Providers a Nursing Professional Corporation

  dba Extensive Healthcare Providers

  • Nurse Practitioner
  • El Cajon, CA
  • NPI 1952269870
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1771372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1336092360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 PLANTATION WAY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920193603",
            "telephone_number": "619-395-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 PLANTATION WAY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920193603",
            "telephone_number": "619-395-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETHERLIN",
        "first_name": "MAE PET",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-18",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95038618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fereshteh Jahanpanah a Professional Medical Corporation
• Fereshteh Jahanpanah M.D., a Professional Medical Corporation
• Genaro Fernandez, MD
• Luz Maria Fernandez, LCSW
• Steven Ferson, PTA
• FF Medical Transportation LLC (FF medical transportation)
• Vickie J Ficklin, LCSW
• Michael Lemond Fields Jr.
• Brenda Luz Figueroa, M.D.
• Jazmin Chantel Figueroa

• Family Nurse Practitioner in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.