Individual provider Active NPI

Moya Anne Meckel, AGACNP-BC

  • Acute Care Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1861046195
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95012301 Issued in CA
Practice address
233 Grant Ave FL 6
San Francisco, CA 94108-4646
Phone
(415) 686-3546
NPI assigned
Jul 25, 2019
Last updated
Oct 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95012301 CA Primary

Addresses

Primary practice location

233 Grant Ave FL 6
San Francisco, CA 94108-4646

Mailing address

90 Valle Vis
Carmel Valley, CA 93924-9615

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
I20191119000944 CA Practitioner - Nurse Practitioner 6507298205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

91 E Blithedale Ave
B
Mill Valley, CA 94941-1913
Phone (415) 686-3546

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Bay Aesthetics Inc a Professional Medical Corporation CurrentSince Jun 23, 2023 Accepting new patients
North Bay Aesthetics Inc a Professional Medical Corporation CurrentSince Aug 25, 2025 Accepting new patients

Locations

91 E Blithedale Ave
#B
Mill Valley, CA 94941
Phone (415) 686-3546

233 Grant Ave
Fl 6
San Francisco, CA 94108
Phone (415) 686-3546

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, 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": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1861046195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 VALLE VIS",
            "city": "CARMEL VALLEY",
            "state": "CA",
            "postal_code": "939249615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 GRANT AVE FL 6",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084646",
            "telephone_number": "415-686-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECKEL",
        "first_name": "MOYA",
        "middle_name": "ANNE",
        "credential": "AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95012301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.