Individual provider Active NPI

Patricia M. Purcell, NP

  • Family Nurse Practitioner
  • San Rafael, CA
National Provider Identifier
1609903699
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NPF1047 Issued in CA
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

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
068270OtherSFGH 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081201000180 CA Practitioner - Nurse Practitioner 1254491822 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1047CAMDProfessional Counselor
RN 296236CAMDAmbulatory Care Registered Nurse
NPF1047CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ritter Center CurrentSince Dec 10, 2020 Accepting new patients
Marin Community Clinic Family CurrentSince Oct 16, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.