Individual provider Active NPI

Allysa Rueschenberg, NP

  • Family Nurse Practitioner
  • Arroyo Grande, CA
National Provider Identifier
1689115446
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95006199 Issued in CA
Practice address
850 Fair Oaks Ave Ste 220
Arroyo Grande, CA 93420-3929
Phone
(805) 434-5530
Fax
(805) 434-0023
NPI assigned
Mar 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95103654 CA
Family Nurse Practitioner 363LF0000X 95006199 CA Primary

Addresses

Primary practice location

850 Fair Oaks Ave Ste 220
Arroyo Grande, CA 93420-3929

Mailing address

850 Fair Oaks Ave Ste 220
Arroyo Grande, CA 93420-3929
Phone (805) 434-5530

Other practice location 1

805 Aerovista Pl
#106
San Luis Obispo, CA 93401-7919
Phone (805) 594-1240

Other practice location 2

350 Posada Ln Ste 202
Templeton, CA 93465-4060
Phone (805) 434-5497

Other practice location 3

1551 Bishop St Ste 230
San Luis Obispo, CA 93401-4661
Phone (805) 434-5530

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
I20170425002312 CA Practitioner - Nurse Practitioner 9638456841 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Emory University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacific Central Coast Health CentersGroup PAC ID 9739091364, 247 clinicians

Practice addresses (Care Compare)

850 Fair Oaks Ave
Suite 220
Arroyo Grande, CA 93420-3929
Phone (805) 547-2224

Hospital & facility affiliations

  • Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107
  • French Hospital Medical Center Hospital, San Luis Obispo, CA, CCN 050232

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95006199CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Central Coast Health Centers Current Accepting new patients
Pacific Central Coast Health Centers CurrentSince Sep 5, 2023 Accepting new patients
San Luis Internal Medicine Associates, a Medical Corporation CurrentSince Mar 13, 2017 Accepting new patients
Pacific Central Coast Health Centers CurrentSince Sep 5, 2023 Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
Doctor Yu Dental Corporation PastSince Dec 22, 2025 Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients

Locations

850 Fair Oaks Ave
Ste 220
Arroyo Grande, CA 93420
Phone (805) 434-5530

500 Old River Rd
Ste 200
Bakersfield, CA 93311
Phone (661) 663-6429

2901 N Ventura Rd
Ste 110
Oxnard, CA 93036
Phone (805) 981-6163

1510 E Main St
Ste 104C
Santa Maria, CA 93454
Phone (805) 349-8514

1414 E Main St
Ste 201
Santa Maria, CA 93454
Phone (805) 739-3112

1551 Bishop St
Ste 230
Sn Luis Obisp, CA 93401
Phone (805) 434-5530

805 Aerovista Pl
Ste 106
Sn Luis Obisp, CA 93401
Phone (805) 544-7804

350 Posada Ln
Ste 202
Templeton, CA 93465
Phone (805) 434-5497

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1689115446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 FAIR OAKS AVE STE 220",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203929",
            "telephone_number": "805-434-5530",
            "fax_number": "805-434-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 FAIR OAKS AVE STE 220",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203929",
            "telephone_number": "805-434-5530",
            "fax_number": "805-434-0023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 Aerovista Pl",
            "address_2": "#106",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934017919",
            "country_code": "US",
            "telephone_number": "805-594-1240",
            "fax_number": "805-494-1241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Posada Ln Ste 202",
            "address_purpose": "LOCATION",
            "city": "Templeton",
            "state": "CA",
            "postal_code": "934654060",
            "country_code": "US",
            "telephone_number": "805-434-5497",
            "fax_number": "805-434-0917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1551 Bishop St Ste 230",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934014661",
            "country_code": "US",
            "telephone_number": "805-434-5530",
            "fax_number": "805-434-0023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUESCHENBERG",
        "first_name": "ALLYSA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-13",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95103654",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95006199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arroyo Grande, CA

Sources for this page

Verify at the official NPI Registry.