Individual provider Active NPI

Mary Frances Chrisman, NP-C

  • Nurse Practitioner
  • Carmichael, CA
National Provider Identifier
1750886412
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95009074 Issued in CA
Practice address
6555 Coyle Ave
Carmichael, CA 95608-0302
Phone
(916) 241-9677
NPI assigned
Mar 26, 2018
Last updated
Apr 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95009074 CA Primary

Addresses

Primary practice location

6555 Coyle Ave
Carmichael, CA 95608-0302

Mailing address

PO Box 453
Elk Grove, CA 95759-0453
Phone (916) 230-2524

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
I20180810001071 CA Practitioner - Nurse Practitioner 4981952769 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4001 J St
Sacramento, CA 95819-3626
Phone (916) 453-4545

6501 Coyle Ave
Carmichael, CA 95608-0306
Phone (916) 537-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95009074CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Current Accepting new patients
Team Physicians of California Medical Group Inc Nurse Practitioner CurrentSince Feb 1, 2023 Accepting new patients
Cep America - California CurrentSince Jun 12, 2018 Accepting new patients
Cep America-California CurrentSince Jun 12, 2018 Accepting new patients
Acute Care Surgery Medical Group, Inc. CurrentSince Nov 1, 2021 Accepting new patients
San Francisco Physicians International Medical Group, Inc Nurse Practitioner CurrentSince Mar 1, 2019 Accepting new patients
Solano Gateway Medical Group Inc Nurse Practitioner CurrentSince Nov 4, 2019 Accepting new patients

Locations

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

27200 Calaroga Ave
Hayward, CA 94545
Phone (510) 264-2000

1235 W Vine St
Ste 20
Lodi, CA 95240
Phone (209) 339-7410

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

6001 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 275-8273

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

525 W Acacia St
Stockton, CA 95203
Phone (209) 944-5410

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 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": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1750886412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 453",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957590453",
            "telephone_number": "916-230-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 COYLE AVE",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080302",
            "telephone_number": "916-241-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISMAN",
        "first_name": "MARY",
        "middle_name": "FRANCES",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95009074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

Verify at the official NPI Registry.