Individual provider Active NPI

James Dennis McCabe, FNP

  • Family Nurse Practitioner
  • Merced, CA
National Provider Identifier
1821642968
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95012208 Issued in CA
Practice address
3393 G St
Merced, CA 95340-1000
Phone
(209) 580-4172
Fax
(209) 233-9859
NPI assigned
Jul 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95012208 CA Primary

Addresses

Primary practice location

3393 G St
Merced, CA 95340-1000

Mailing address

PO Box 3768
Merced, CA 95344-3768
Phone (209) 725-7149

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dennis.mccabe.1@3012.direct.athenahealth.com Direct

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
I20190828002765 CA Practitioner - Nurse Practitioner 7416285440 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95012208CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Merced Faculty Associates Medical Group Incorporated CurrentSince Jul 19, 2019 Accepting new patients
Merced Faculty Associates Medical Group Incorporated Current Accepting new patients

Locations

535 W 25th St
Merced, CA 95340
Phone (209) 722-9066

3393 G St
Ste C
Merced, CA 95340
Phone (209) 580-4172

127 W El Portal Dr
Merced, CA 95348
Phone (209) 723-3704

Interoperability endpoints

  • Direct secure messaging: dennis.mccabe.1@3012.direct.athenahealth.com

Organizations & group practices 2

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": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1821642968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3768",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953443768",
            "telephone_number": "209-725-7149",
            "fax_number": "209-726-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3393 G ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953401000",
            "telephone_number": "209-580-4172",
            "fax_number": "209-233-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCABE",
        "first_name": "JAMES",
        "middle_name": "DENNIS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-26",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dennis.mccabe.1@3012.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3393 G St",
            "city": "Merced",
            "state": "CA",
            "country_code": "US",
            "postal_code": "953401000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.