Individual provider Active NPI

Annita Mae Cline, FNP

  • Family Nurse Practitioner
  • Clovis, CA
National Provider Identifier
1861800971
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95000970 Issued in CA
Practice address
2151 Herndon Ave
Ste 105
Clovis, CA 93611-6307
Phone
(559) 297-7563
NPI assigned
Aug 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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 95000970 CA Primary

Addresses

Primary practice location

2151 Herndon Ave
Ste 105
Clovis, CA 93611-6307

Mailing address

2151 Herndon Ave 105
Clovis, CA 93611-6307
Phone (559) 355-8965

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
I20161024002484 CA Practitioner - Nurse Practitioner 2961718804 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Improvement activities
40
Cost
81.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95000970CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Visalia Medical Clinic, Inc. Current Accepting new patients
Kaweah Delta Health Care Inc CurrentSince Apr 29, 2017 Accepting new patients
Merced Hospitalist Medical Group, Inc. CurrentSince Dec 15, 2016 Accepting new patients
Memorialcare Medical Foundation CurrentSince Dec 14, 2021 Accepting new patients

Locations

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

18035 Brookhurst St
Ste 2100
Fountain Valley, CA 92708
Phone (657) 241-9090

11420 Warner Ave
Fountain Vly, CA 92708
Phone (714) 549-1300

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

5400 W Hillsdale Ave
#150
Visalia, CA 93291

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

5400 W Hillsdale Ave
Visalia, CA 93291
Phone (553) 733-5222

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: acline720200@direct.memorialcare.org
  • Direct secure messaging: annitacline@vmchealth.allscriptsdirect.net

Organizations & group practices 4

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": "1406851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1861800971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 HERNDON AVE 105",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116307",
            "telephone_number": "559-355-8965",
            "fax_number": "559-625-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 HERNDON AVE",
            "address_2": "STE 105",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116307",
            "telephone_number": "559-297-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINE",
        "first_name": "ANNITA",
        "middle_name": "MAE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-01",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95000970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

Verify at the official NPI Registry.