Individual provider Active NPI

Nicole Marianna Kacir, DNP

  • Pediatric Nurse Practitioner
  • Monterey, CA
National Provider Identifier
1790669299
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
95036495 Issued in CA
Practice address
2 Upper Ragsdale Dr Ste B210
Monterey, CA 93940-7851
Phone
(831) 333-0999
NPI assigned
Aug 5, 2025
Last updated
Sep 18, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP95036495 CA
Pediatric Nurse Practitioner 363LP0200X 95036495 CA Primary

Addresses

Primary practice location

2 Upper Ragsdale Dr Ste B210
Monterey, CA 93940-7851

Mailing address

16811 Gallop Dr
Morgan Hill, CA 95037-3909
Phone (408) 710-0469

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
I20250929003851 CA Practitioner - Nurse Practitioner 1355847336 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2001 The Embarcadero
San Francisco, CA 94143-5200

40 Ryan CT
Suite 100
Monterey, CA 93940-7807

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95036495CAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Health Medical Foundation CurrentSince Sep 1, 2025 Accepting new patients
Community Hospital of the Monterey Peninsula CurrentSince Aug 5, 2025 Accepting new patients
Community Hospital of the Monterey Peninsula CurrentSince Aug 5, 2025 Accepting new patients

Locations

2 Upper Ragsdale Dr
Ste B210
Monterey, CA 93940
Phone (831) 333-0999

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

570 Price Ave
Ste 100
Redwood City, CA 94063
Phone (650) 327-1258

1081 Market Pl
Ste 500
San Ramon, CA 94583
Phone (669) 235-4188

Interoperability endpoints

  • Direct secure messaging: nkacir445128@direct-ucsfmedicalcenter.org

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

NPI Registry JSON

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

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1790669299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16811 GALLOP DR",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950373909",
            "telephone_number": "408-710-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 UPPER RAGSDALE DR STE B210",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407851",
            "telephone_number": "831-333-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACIR",
        "first_name": "NICOLE",
        "middle_name": "MARIANNA",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95036495",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95036495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.