Individual provider Active NPI

Rinnah Macvittie, FNP-BC; AGNP-C

  • Family Nurse Practitioner
  • Concord, CA
National Provider Identifier
1417346552
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95005361 Issued in CA
Practice address
2415 High School Ave Ste 700
Concord, CA 94520-1879
Phone
(415) 848-9111
NPI assigned
Jan 13, 2015
Last updated
Jan 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150327000203 OR Practitioner - Nurse Practitioner 3072830249 Reassigns benefits to 1 organization
I20181216000005 CA Practitioner - Nurse Practitioner 3072830249 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 SiskiyouGroup PAC ID 8224280706, 8 clinicians

Practice addresses (Care Compare)

2060 Campus Dr
Yreka, CA 96097-9538
Phone (530) 841-4100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP-1524AIDMDAdult Health Nurse Practitioner
201500020NP-PPORMDAdult Health Nurse Practitioner
NP95005361CAMDFamily Nurse Practitioner
20160773ORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sky Lakes Medical Center Inc CurrentSince Feb 24, 2015 Accepting new patients
Journey Health Medical Group of California CurrentSince Sep 1, 2022 Accepting new patients
County of Siskiyou CurrentSince Jun 7, 2025 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Feb 24, 2015 Accepting new patients
County of Siskiyou CurrentSince Jun 7, 2025 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) 274-6221

Organizations & group practices 7

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 3

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": "1421107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1417346552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16735 GREENWOOD LN",
            "city": "WEED",
            "state": "CA",
            "postal_code": "960949451",
            "telephone_number": "314-308-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 HIGH SCHOOL AVE STE 700",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201879",
            "telephone_number": "415-848-9111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 NW Bethany Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970065236",
            "country_code": "US",
            "telephone_number": "503-207-5476",
            "fax_number": "814-479-5906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "914 Pine St",
            "address_purpose": "LOCATION",
            "city": "Mount Shasta",
            "state": "CA",
            "postal_code": "960672143",
            "country_code": "US",
            "telephone_number": "530-926-6111",
            "fax_number": "530-242-5183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACVITTIE",
        "first_name": "RINNAH",
        "name_prefix": "Ms.",
        "credential": "FNP-BC; AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-13",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "201500020NP-PP",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "ID",
            "license": "NP-1524A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "20160773",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95005361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.