Rinnah Macvittie, FNP-BC; AGNP-C
Individual provider Active NPI Family Nurse Practitioner · Concord, CA
NPI 1417346552 · NPPES record last updated Jan 17, 2023
Key facts
- NPI
- 1417346552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- NP95005361 (CA)
- Practice address
- 2415 High School Ave Ste 700
Concord, CA 94520-1879 - Phone
- (415) 848-9111
- NPI assigned
- Jan 13, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- County of Siskiyou
Practice addresses (Care Compare)
2060 Campus Dr
Yreka, CA 96097-9538
Phone (530) 841-4100
Hospital & facility affiliations
- Mercy Medical Center of Mt Shasta
- Fairchild Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OR, CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150327000203 | OR | Practitioner - Nurse Practitioner | 3072830249 | Reassigns benefits to 1 organization |
| I20181216000005 | CA | Practitioner - Nurse Practitioner | 3072830249 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP-1524A | ID | MD | Adult Health Nurse Practitioner |
| NP95005361 | CA | MD | Family Nurse Practitioner |
| 20160773 | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sky Lakes Medical Center Inc | Current |
Accepting new patients | |
| Sky Lakes Medical Center Inc | Current |
Accepting new patients | |
| County of Siskiyou | Current |
Accepting new patients | |
| Journey Health Medical Group of California | Current |
Accepting new patients | |
| County of Siskiyou | Current |
Accepting new patients | |
| Columbia Lutheran Charities | Past | Accepting new patients | |
| Columbia Lutheran Charities | Past | Accepting new patients |
Locations
2415 High School Ave
Ste 700
Concord, CA 94520
Phone (415) 848-9111
2323 Broadway
Oakland, CA 94612
Phone (510) 457-1064
2060 Campus Dr
Yreka, CA 96097
Phone (530) 841-4100
2865 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 833-6221
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 201500020NP-PP | OR | |
| Adult Health Nurse Practitioner | 363LA2200X | NP-1524A | ID | |
| Family Nurse Practitioner | 363LF0000X | 20160773 | OR | |
| Family Nurse Practitioner | 363LF0000X | NP95005361 | CA | Yes |
Addresses
Primary practice location
2415 High School Ave Ste 700
Concord, CA 94520-1879
Mailing address
16735 Greenwood LN
Weed, CA 96094-9451
Phone (314) 308-8484
Other practice location 1
1500 NW Bethany Blvd Ste 200
Beaverton, OR 97006-5236
Phone (503) 207-5476
Other practice location 2
914 Pine St
Mount Shasta, CA 96067-2143
Phone (530) 926-6111
Other providers in Concord, CA
- Aaron Samuel Macintyre
- Michael Anthony Macioci
- Felton Mackey Jr.
- Katheryn Elon Macleod
- Angelique Macrae Cannam
- Servius Mada
- Angelica Madamba
- Ashley Madden
- Saoirse Madden
- Amir Madison
All providers in Concord, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.