Active NPI
Nicole Marie Musabelliu, NP-C
- Family Nurse Practitioner
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95000191
- Practice address
- 9110 Judicial Dr
8317
San Diego, CA 92122-6711 - Phone
- (858) 414-8724
- NPI assigned
- Dec 19, 2013
- Last updated
- Mar 30, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP5332 | AZ | |
| Family Nurse Practitioner | 363LF0000X | 95000191 | CA | Primary |
Addresses
Primary practice location
9110 Judicial Dr
8317
San Diego, CA 92122-6711
Mailing address
9110 Judicial Dr
8317
San Diego, CA 92122-6711
Phone (858) 414-8724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
14631 N Cave Creed Rd
Suite 104
Phoenix, AZ 85022-4100
Phone (602) 715-2568
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.24 of 100
- Quality
- 66.21
- Improvement activities
- 40
- Cost
- 66.73
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP5332 | AZ | MD | Family Nurse Practitioner |
| 95000191 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ternion Physician Group, PLLC | Current | Accepting new patients | |
| J M Geiss DO Apc | Current | Accepting new patients | |
| Siren Medical PC | Current | Accepting new patients | |
| Senior Doc Arizona PC | Current | Accepting new patients | |
| Senior Doc Az Medical PC | Current | Accepting new patients |
Locations
4704 W Diana Ave
Glendale, AZ 85302
Phone (623) 247-3949
7201 W Camino San Xavier
Glendale, AZ 85308
Phone (623) 271-8704
14631 N Cave Creek Rd
Ste 103
Phoenix, AZ 85022
14631 N Cave Creek Rd
Ste 104
Phoenix, AZ 85022
Phone (602) 715-2568
2999 N 44th St
Ste 220
Phoenix, AZ 85018
Phone (602) 288-4059
42104 N Venture Dr
Ste D118
Phoenix, AZ 85086
Phone (623) 505-4479
2592 N Santiago Blvd
Orange, CA 92867
Phone (714) 577-2271
Interoperability endpoints
- nicole.musabelliu@57560418353156.direct.elationemr.com
Organizations & group practices 5
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Phoenix, AZ
- NPI 1073148326
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1700477627
-
- Internal Medicine Physician
- Anthem, AZ
- NPI 1013466192
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Choice Health at Home
- Home Health Agency
- Scottsdale, AZ
- NPI 1154898542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427673600000",
"number": "1457772311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9110 JUDICIAL DR",
"address_2": "8317",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921226711",
"telephone_number": "858-414-8724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9110 JUDICIAL DR",
"address_2": "8317",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921226711",
"telephone_number": "858-414-8724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSABELLIU",
"first_name": "NICOLE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-19",
"last_updated": "2015-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP5332",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95000191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.