Active NPI
Maysoon Mahmud Musbah, RN, FNP-BC
- Family Nurse Practitioner
- Elk Grove, CA
National Provider Identifier
1730963380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95026379
- Practice address
- 9045 Bruceville Rd
Elk Grove, CA 95758-5948 - Phone
- (916) 479-9110
- NPI assigned
- Aug 23, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95026379 | CA | Primary |
Addresses
Primary practice location
9045 Bruceville Rd
Elk Grove, CA 95758-5948
Mailing address
9045 Bruceville Rd
Elk Grove, CA 95758-5948
Phone (916) 479-9110
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9045 Bruceville Rd
Suite 100
Elk Grove, CA 95758-5950
Phone (916) 479-9110
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95026379 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elk Grove Urgent Care Inc | Single Specialty | Current | Accepting new patients |
Locations
9045 Bruceville Rd
Elk Grove, CA 95758
Phone (916) 479-9110
9045 Bruceville Rd
Ste 100
Elk Grove, CA 95758
Phone (916) 479-9110
Organizations & group practices 1
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": "1692748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692748800000",
"number": "1730963380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9045 BRUCEVILLE RD",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957585948",
"telephone_number": "916-479-9110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9045 BRUCEVILLE RD",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957585948",
"telephone_number": "916-479-9110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSBAH",
"first_name": "MAYSOON",
"middle_name": "MAHMUD",
"credential": "RN, FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-23",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95026379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.