Individual provider Active NPI

Renne Louise Gossic, FNP-C

  • Hospice Registered Nurse
  • Sacramento, CA
National Provider Identifier
1356943419
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice Registered NurseTaxonomy code 163WH1000X
License
826664 Issued in CA
Practice address
1451 River Park Dr Ste 241
Sacramento, CA 95815-4514
Phone
(916) 242-4600
Fax
(916) 242-4605
NPI assigned
Nov 13, 2020
Last updated
Nov 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice Registered Nurse 163WH1000X 826664 CA Primary

Addresses

Primary practice location

1451 River Park Dr Ste 241
Sacramento, CA 95815-4514

Mailing address

1451 River Park Dr Ste 241
Sacramento, CA 95815-4514
Phone (916) 242-4600

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
I20240605002437 CA Practitioner - Nurse Practitioner 1951843937 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
826664CAMDHospice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
American River Hospice Services CurrentSince Jan 21, 2022 Accepting new patients
Anant Lodhia MD Inc PastSince Nov 15, 2020 Accepting new patients

Locations

1451 River Park Dr
Ste 241
Sacramento, CA 95815
Phone (916) 242-4600

Interoperability endpoints

  • Direct secure messaging: renne.gossic.1@33281.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1356943419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 RIVER PARK DR STE 241",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154514",
            "telephone_number": "916-242-4600",
            "fax_number": "916-242-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 RIVER PARK DR STE 241",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154514",
            "telephone_number": "916-242-4600",
            "fax_number": "916-242-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSSIC",
        "first_name": "RENNE",
        "middle_name": "LOUISE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "CA",
            "license": "826664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.