Active NPI
Patricia Marie Gresham, ANP
- Nurse Practitioner
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 13225
- Practice address
- 6733 N Willow Ave Ste 107
Fresno, CA 93710-5953 - Phone
- (559) 435-4700
- Fax
- (559) 298-7951
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 13225 | CA | Primary |
Addresses
Primary practice location
6733 N Willow Ave Ste 107
Fresno, CA 93710-5953
Mailing address
2625 E Divisadero St
Fresno, CA 93721-1431
Phone (559) 443-2682
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6733 N Willow Ave
Suite 107
Fresno, CA 93710-5953
Phone (559) 435-4700
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 76.71
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13225 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Faculty Associates, Inc. | Current | Accepting new patients | |
| Central California Faculty Medical Group, Inc. | Current | Accepting new patients | |
| University Faculty Associates, Inc. | Past | Accepting new patients | |
| Chester County Cardiology Associates, P.C. | Past | Accepting new patients |
Locations
2828 Fresno St
Ste 203
Fresno, CA 93721
Phone (559) 320-1090
2335 E Kashian Ln
Ste 240
Fresno, CA 93701
Phone (559) 320-0545
2315 E Illinois Ave
Fresno, CA 93701
Phone (559) 459-4243
6733 N Willow Ave
Ste 107
Fresno, CA 93710
Phone (559) 435-4700
2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965
2335 E Kashian Ln
Ste 410
Fresno, CA 93701
Phone (559) 266-4100
2335 E Kashian Ln
Ste 260
Fresno, CA 93701
Phone (559) 256-5130
2625 E Divisadero St
Fresno, CA 93721
Phone (559) 453-5200
Interoperability endpoints
- patricia.gresham.1@31788.direct.athenahealth.com
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.
-
- Emergency Medicine Physician
- Fresno, CA
- NPI 1457603573
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1073911137
-
- Emergency Medicine Physician
- Fresno, CA
- NPI 1235537283
-
- Interventional Cardiology Physician
- West Chester, PA
- NPI 1558421479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611792000000",
"number": "1912043407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 E DIVISADERO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937211431",
"telephone_number": "559-443-2682",
"fax_number": "559-443-2681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6733 N WILLOW AVE STE 107",
"city": "FRESNO",
"state": "CA",
"postal_code": "937105953",
"telephone_number": "559-435-4700",
"fax_number": "559-298-7951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRESHAM",
"first_name": "PATRICIA",
"middle_name": "MARIE",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "13225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.