Individual provider Active NPI

Delise Catherine-Rietkerk McEwen, FNP-C

  • Family Nurse Practitioner
  • Santa Maria, CA
National Provider Identifier
1750190815
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95033733 Issued in CA
Practice address
915 E Stowell Rd Ste B
Santa Maria, CA 93454-7010
Phone
(805) 934-5140
NPI assigned
Jan 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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 95225045 CA
Family Nurse Practitioner 363LF0000X 95033733 CA Primary

Addresses

Primary practice location

915 E Stowell Rd Ste B
Santa Maria, CA 93454-7010

Mailing address

915 E Stowell Rd Ste B
Santa Maria, CA 93454-7010
Phone (805) 934-5140

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
I20250508001118 CA Practitioner - Nurse Practitioner 8426575952 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Spa Med IncGroup PAC ID 9830567189, 8 clinicians

Practice addresses (Care Compare)

300 James Way
Suite 140
Pismo Beach, CA 93449-2874
Phone (805) 574-1000

Hospital & facility affiliations

  • Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95033733CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Okerblom Voegele and Hole MD a Professional Corporation CurrentSince Mar 1, 2025 Accepting new patients
Dermatology Spa Med Inc CurrentSince Jun 1, 2025 Accepting new patients
Dignity Health PastSince Mar 1, 2025 Accepting new patients

Locations

6000 Physicians Blvd
Ste 210
Bakersfield, CA 93301
Phone (661) 325-9312

300 James Way
Ste 140
Pismo Beach, CA 93449
Phone (805) 574-1000

340 James Way
Pismo Beach, CA 93449

915 E Stowell Rd
Ste C
Santa Maria, CA 93454
Phone (805) 934-5140

120 N Miller St
Ste C
Santa Maria, CA 93454
Phone (805) 473-9735

915 E Stowell Rd
Ste B
Santa Maria, CA 93454
Phone (805) 938-7424

120 N Miller St
Bldg Bc
Santa Maria, CA 93454
Phone (805) 739-0033

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.

Hospital & facility affiliations 1

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": "1735862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1750190815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 E STOWELL RD STE B",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547010",
            "telephone_number": "805-934-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 E STOWELL RD STE B",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547010",
            "telephone_number": "805-934-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCEWEN",
        "first_name": "DELISE",
        "middle_name": "CATHERINE-RIETKERK",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95225045",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95033733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.