Individual provider Active NPI

Nicole M. Rowe, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Arroyo Grande, CA
National Provider Identifier
1366788283
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9502188 Issued in CA
Practice address
530 Camino Mercado Ste 536
Arroyo Grande, CA 93420-1814
Phone
(805) 540-0279
NPI assigned
Dec 20, 2012
Last updated
Oct 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95285393 CA
Registered Nurse 163W00000X 49458 NV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95021888 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9502188 CA Primary

Addresses

Primary practice location

530 Camino Mercado Ste 536
Arroyo Grande, CA 93420-1814

Mailing address

530 Camino Mercado Ste 536
Arroyo Grande, CA 93420-1814
Phone (805) 540-0279

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
I20250416002384 CA Practitioner - Nurse Practitioner 7416472055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Coast Behavioral Health IncGroup PAC ID 6204356660, 14 clinicians

Practice addresses (Care Compare)

536 Camino Mercado
Arroyo Grande, CA 93420-1814
Phone (805) 540-0279

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95285393CAMDRegistered Nurse
49458NVMDRegistered Nurse
9502188CAMDPsychiatric/Mental Health Nurse Practitioner
95021888CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Desert Psychiatry Inc CurrentSince Feb 6, 2025 Accepting new patients
Central Coast Behavioral Health, Inc. Psychiatric/Mental Health CurrentSince Feb 6, 2025 Accepting new patients

Locations

536 Camino Mercado
Arroyo Grande, CA 93420
Phone (346) 502-3707

353 E Park Ave
El Cajon, CA 92020
Phone (323) 893-5844

7067 N Mariposa St
Ste 103
Fresno, CA 93720
Phone (559) 380-4304

74075 El Paseo
Ste A16
Palm Desert, CA 92260

Organizations & group practices 2

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": "1355961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1366788283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 CAMINO MERCADO STE 536",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934201814",
            "telephone_number": "805-540-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 CAMINO MERCADO STE 536",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934201814",
            "telephone_number": "805-540-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWE",
        "first_name": "NICOLE",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-20",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95285393",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "49458",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95021888",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "9502188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arroyo Grande, CA

Sources for this page

Verify at the official NPI Registry.