Individual provider Active NPI

Charlotte Ann McFall, NP-C

  • Nurse Practitioner
  • Clovis, CA
National Provider Identifier
1447409404
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP18707 Issued in CA
Practice address
729 N Medical Center Dr W Ste 111
Clovis, CA 93611-6880
Phone
(559) 435-6600
Fax
(559) 435-6622
NPI assigned
Sep 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN508721 CA
Nurse Practitioner 363L00000X NP18707 CA Primary

Addresses

Primary practice location

729 N Medical Center Dr W Ste 111
Clovis, CA 93611-6880

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431
Phone (559) 443-2682

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
I20110718000287 CA Practitioner - Nurse Practitioner 8628246683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Dialysis Access Surgery Associates, Inc.Group PAC ID 5496130007, 2 clinicians

Practice addresses (Care Compare)

6101 N Fresno St
Suite 101
Fresno, CA 93710-8606
Phone (559) 840-1890

Hospital & facility affiliations

  • Community Regional Medical Center Hospital, Fresno, CA, CCN 050060

Merit-based Incentive Payment System (MIPS)

Final score
25.49 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
84.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18707CAMDClinical Psychologist
RN508721CAMDRegistered Nurse
NP18707CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Dialysis Access Surgery Associates, Inc. CurrentSince Sep 1, 2022 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Community Health Partners Past Accepting new patients
University Faculty Associates, Inc. Past Accepting new patients

Locations

6101 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4168

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

6101 N Fresno St
Fresno, CA 93710
Phone (559) 432-1880

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 and National Provider Directory roles.

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": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1447409404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 E DIVISADERO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211431",
            "telephone_number": "559-443-2682",
            "fax_number": "559-443-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 N MEDICAL CENTER DR W STE 111",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116880",
            "telephone_number": "559-435-6600",
            "fax_number": "559-435-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFALL",
        "first_name": "CHARLOTTE",
        "middle_name": "ANN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-15",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN508721",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP18707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

Verify at the official NPI Registry.