NPIMap

Individual provider Active NPI

Michael Shane Pelzer, NP

  • Family Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1699410753
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95020788 Issued in CA
Practice address
404 Brite Meadow CT
Bakersfield, CA 93308-7870
Phone
(661) 302-3897
NPI assigned
May 3, 2022
Last updated
May 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95020788 CA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95020788 CA

Addresses

Primary practice location

404 Brite Meadow CT
Bakersfield, CA 93308-7870

Mailing address

404 Brite Meadow CT
Bakersfield, CA 93308-7870
Phone (661) 302-3897

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221107000856 CA Practitioner - Nurse Practitioner 6406223304 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9350 N Loop Blvd
California City, CA 93505-2269
Phone (760) 373-1785

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95020788CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Apr 1, 2023 Accepting new patients
Adventist Health Medical Center Tehachapi CurrentSince Sep 19, 2022 Accepting new patients
Adventist Health Medical Center Tehachapi CurrentSince Sep 19, 2022 Accepting new patients
Adventist Health Physicians Network CurrentSince Apr 1, 2023 Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
Adventist Health Medical Center Tehachapi Past Accepting new patients

Locations

2701 Chester Ave
Ste 101
Bakersfield, CA 93301
Phone (661) 716-9400

9350 N Loop Blvd
California City, CA 93505
Phone (760) 373-1785

2041 Belshaw St
Mojave, CA 93501
Phone (661) 824-4511

105 W E St
Tehachapi, CA 93561
Phone (661) 823-7070

1100 Magellan Dr
Tehachapi, CA 93561
Phone (661) 823-3000

20211 W Valley Blvd
Tehachapi, CA 93561
Phone (661) 443-0088

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1699410753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 BRITE MEADOW CT",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933087870",
            "telephone_number": "661-302-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 BRITE MEADOW CT",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933087870",
            "telephone_number": "661-302-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELZER",
        "first_name": "MICHAEL",
        "middle_name": "SHANE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-03",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95020788",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95020788",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.