Denise Marie Reppenhagen, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

19213 Issued in CA

Practice address

5055 Avenida Encinas Ste 100
Carlsbad, CA 92008-4375

Phone

(760) 448-4412

NPI assigned

Jun 18, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dreppenhagen325188@scrippshlth.medalliesdirect.net
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4

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.

• California PHS PC

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1649932781
  NPD
• Scripps Health

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD
• MTK Primary Care Medical Group

  • Specialist
  • Escondido, CA
  • NPI 1427569581
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1760703136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 CITRACADO PKWY",
            "address_2": "STE 203",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920294112",
            "telephone_number": "760-448-4412",
            "fax_number": "760-918-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 AVENIDA ENCINAS STE 100",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920084375",
            "telephone_number": "760-448-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPPENHAGEN",
        "first_name": "DENISE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-18",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "19213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Renderos
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• Renewmd Coastal, Inc.
• Jacqueline Reno
• Yvonne Renteria
• Jaimie Edith Resendiz
• Reset Behavioral Health LLC
• Responsible Medical Corporation
• Tzili Ressler, OTR/L
• Restoration Therapy Center of SD, a MFT Corp

• Adult Health Nurse Practitioner in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.