Individual provider Active NPI

Renee Marie Carini, NP

  • Nurse Practitioner
  • Chico, CA
National Provider Identifier
1346287356
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
425343 Issued in CA
Practice address
888 Lakeside VLG Commons
Chico, CA 95928-3979
Phone
(530) 332-5100
NPI assigned
May 31, 2006
Last updated
Aug 14, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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 425343 CA Primary

Addresses

Primary practice location

888 Lakeside VLG Commons
Chico, CA 95928-3979

Mailing address

15374 Reese Rd
Chico, CA 95973-9451
Phone (530) 343-0705

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
I20070327000232 CA Practitioner - Nurse Practitioner 4587768817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ampla HealthGroup PAC ID 5092619270, 105 clinicians

Practice addresses (Care Compare)

680 Cohasset Rd
Chico, CA 95926-2213
Phone (530) 342-4395

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
425343CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ampla Health CurrentSince Nov 1, 2019 Accepting new patients
Ampla Health CurrentSince Nov 1, 2019 Accepting new patients
Ampla Health Current Accepting new patients
Chico Immediate Care Medical Center, Inc. Past Accepting new patients

Locations

89 Putnam Way
Arbuckle, CA 95912
Phone (530) 476-2200

285 Cohasset Rd
Chico, CA 95926
Phone (530) 342-6065

680 Cohasset Rd
Chico, CA 95926
Phone (530) 342-4395

555 Fremont St
Colusa, CA 95932
Phone (530) 458-5165

520 Kentucky St
Gridley, CA 95948
Phone (530) 846-6231

7981 Highway 99E
Los Molinos, CA 96055
Phone (530) 384-4010

4941 Olivehurst Ave
Olivehurst, CA 95961
Phone (530) 743-4611

1211 Cortina Dr
Orland, CA 95963
Phone (530) 865-5544

2800 Lincoln St
Oroville, CA 95966
Phone (530) 534-7500

1000 Sutter St
Yuba City, CA 95991
Phone (530) 673-9420

931 Market St
Yuba City, CA 95991
Phone (530) 671-8820

935 Market St
Yuba City, CA 95991
Phone (530) 674-4261

Interoperability endpoints

  • Direct secure messaging: renee.carini@ampla.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1346287356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15374 REESE RD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959739451",
            "telephone_number": "530-343-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 LAKESIDE VLG COMMONS",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959283979",
            "telephone_number": "530-332-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARINI",
        "first_name": "RENEE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "425343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.