Active NPI
Patricia M. Purcell, NP
- Family Nurse Practitioner
- San Rafael, CA
National Provider Identifier
1609903699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NPF1047
- Practice address
- 1618 2ND St
San Rafael, CA 94901-2707 - Phone
- (415) 448-1500
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | RN 296236 | CA | |
| Family Nurse Practitioner | 363LF0000X | NPF1047 | CA | Primary |
Addresses
Primary practice location
1618 2ND St
San Rafael, CA 94901-2707
Mailing address
3340 Irving St
San Francisco, CA 94122-1315
Phone (415) 609-2010
Other practice location 1
2401 Keith St
Southeast Health Center
San Francisco, CA 94124-3231
Phone (415) 671-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 068270 | Other | SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1047 | CA | MD | Professional Counselor |
| RN 296236 | CA | MD | Ambulatory Care Registered Nurse |
| NPF1047 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ritter Center | Current | Accepting new patients | |
| Marin Community Clinic | Family | Current | Accepting new patients |
| City and County of San Francisco | Past | Accepting new patients |
Locations
16 Ritter St
San Rafael, CA 94901
Phone (415) 457-8182
1618 2nd St
San Rafael, CA 94901
Interoperability endpoints
- ppurcell608937@direct.ochin.org
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- San Rafael, CA
- NPI 1417370032
-
- Federally Qualified Health Center (FQHC)
- San Rafael, CA
- NPI 1508514902
Family
-
- Methadone Clinic
- San Francisco, CA
- NPI 1578787925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665619200000",
"number": "1609903699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 IRVING ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941221315",
"telephone_number": "415-609-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1618 2ND ST",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949012707",
"telephone_number": "415-448-1500"
}
],
"practiceLocations": [
{
"address_1": "2401 Keith St",
"address_2": "Southeast Health Center",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941243231",
"country_code": "US",
"telephone_number": "415-671-7000",
"fax_number": "415-822-3838",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PURCELL",
"first_name": "PATRICIA",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WP2201X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ambulatory Care",
"state": "CA",
"license": "RN 296236",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NPF1047",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER",
"identifier": "068270",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.