Individual provider Active NPI

Hannah Fouch, FNP

  • Family Nurse Practitioner
  • Mariposa, CA
National Provider Identifier
1477224152
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95020411 Issued in CA
Practice address
5074 Jones St
Mariposa, CA 95338-9524
Phone
(209) 718-5150
Fax
(209) 718-5155
NPI assigned
Sep 23, 2021
Last updated
Mar 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95020411 CA Primary

Addresses

Primary practice location

5074 Jones St
Mariposa, CA 95338-9524

Mailing address

PO Box 834
Mariposa, CA 95338-0834
Phone (209) 718-5150

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
I20220804001927 CA Practitioner - Nurse Practitioner 0446632632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John C Fremont Healthcare DistrictGroup PAC ID 5890689533, shared by 7 NPIs, 18 clinicians

Practice addresses (Care Compare)

5186 Hospital Rd
Mariposa, CA 95338-9524
Phone (209) 966-3631

5189 Hospital Rd
Mariposa, CA 95338-9524
Phone (209) 966-3631

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mariposa Advanced Aesthetics, a Professional Nursing Corporation Current Accepting new patients
Community Health Centers of America CurrentSince Oct 15, 2022 Accepting new patients
Mariposa Wellness, a Professional Nursing Corporation CurrentSince Feb 19, 2023 Accepting new patients
Community Health Centers of America CurrentSince Oct 15, 2022 Accepting new patients

Locations

517 Main St
#A
Livingston, CA 95334
Phone (209) 445-2388

5320 State Highway 49 N
Ste 13
Mariposa, CA 95338
Phone (209) 966-2344

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1477224152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 834",
            "city": "MARIPOSA",
            "state": "CA",
            "postal_code": "953380834",
            "telephone_number": "209-718-5150",
            "fax_number": "209-718-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5074 JONES ST",
            "city": "MARIPOSA",
            "state": "CA",
            "postal_code": "953389524",
            "telephone_number": "209-718-5150",
            "fax_number": "209-718-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUCH",
        "first_name": "HANNAH",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-23",
        "last_updated": "2023-03-01",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95020411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mariposa, CA

Sources for this page

Verify at the official NPI Registry.