Patrick Schenck, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

20949 Issued in CA

Practice address

Building H201T, Deployment Health Clinic
Camp Pendleton, CA 92055-5191

Phone

(760) 763-8615

NPI assigned

Sep 16, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1578845483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31586 LOMA LINDA RD",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925921606",
            "telephone_number": "951-760-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BUILDING H201T, DEPLOYMENT HEALTH CLINIC",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "920555191",
            "telephone_number": "760-763-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHENCK",
        "first_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-16",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "20949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Carr Savakus, MD
• Jordan Peter Savas, DDS
• Patrick Lloyd Scarborough, M.D.
• William Edward Schalck, PA-C
• Stefan Schalk, PSY.D.
• Brian Charles Schexnayder, M.D.
• Jeffrey Olen Schneider, D.C.
• Ella Hahn Schultz, DO
• Jacob Daniel Schultz, MD
• Trevor Raymond Scott, DPT

• Family Nurse Practitioner in Camp Pendleton, CA
• Providers in Camp Pendleton, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.