Individual provider Active NPI

Melissa Catherine Ennis, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Hemet, CA
National Provider Identifier
1548989650
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95022314 Issued in CA
Practice address
1225 E Latham Ave Ste B
Hemet, CA 92543-4423
Phone
(951) 929-2800
Fax
(951) 929-2303
NPI assigned
Aug 23, 2022
Last updated
May 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95022314 CA
Family Nurse Practitioner 363LF0000X 95022314 CA Primary
Registered Nurse 163W00000X 95160974 CA
Emergency Registered Nurse 163WE0003X 95160974 CA

Addresses

Primary practice location

1225 E Latham Ave Ste B
Hemet, CA 92543-4423

Mailing address

1225 E Latham Ave Ste B
Hemet, CA 92543-4423
Phone (951) 929-2800

Other names 1

  • Melissa Catherine Baker Former name

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
I20230426001799 CA Practitioner - Nurse Practitioner 9133584121 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Girdhari S Purohit MD IncGroup PAC ID 9830088517, 3 clinicians

Practice addresses (Care Compare)

1225 E Latham Ave
Suite B
Hemet, CA 92543-4423
Phone (909) 929-2800

Merit-based Incentive Payment System (MIPS)

Final score
96.83 of 100Reported as group
Quality
82.91
Improvement activities
40
Cost
78.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95160974CAMDEmergency Registered Nurse
95022314CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Girdhari S Purohit MD Inc CurrentSince Sep 1, 2024 Accepting new patients
Team Physicians of Northern California Medical Group Inc Nurse Practitioner CurrentSince Jun 1, 2023 Accepting new patients

Locations

1225 E Latham Ave
Ste B
Hemet, CA 92543
Phone (909) 929-2800

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

7300 Medical Ctr
West Hills, CA 91307
Phone (818) 612-8301

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGEABD

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1548989650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 E LATHAM AVE STE B",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434423",
            "telephone_number": "951-929-2800",
            "fax_number": "951-929-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 E LATHAM AVE STE B",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434423",
            "telephone_number": "951-929-2800",
            "fax_number": "951-929-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENNIS",
        "first_name": "MELISSA",
        "middle_name": "CATHERINE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95022314",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95022314",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95160974",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "CA",
            "license": "95160974",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "BAKER",
            "middle_name": "CATHERINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.