Individual provider Active NPI

Charmaine M. Mosher-Carbiener, NP

  • Nurse Practitioner
  • Arcata, CA
National Provider Identifier
1932433950
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP10751 Issued in CA
Practice address
3798 Janes Rd Ste 20
Arcata, CA 95521-4746
Phone
(707) 822-0384
Fax
(707) 822-4429
NPI assigned
Sep 23, 2009
Last updated
Jul 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP10751 CA Primary

Addresses

Primary practice location

3798 Janes Rd Ste 20
Arcata, CA 95521-4746

Mailing address

PO Box 4387
Arcata, CA 95518-4387
Phone (707) 822-7220

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
I20050607001083 CA Practitioner - Nurse Practitioner 4284677543 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10751CAMDAcupuncturist
NP10751CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Hospital Management Corporation CurrentSince Mar 6, 2020 Accepting new patients
American Hospital Management Corporation CurrentSince Mar 6, 2020 Accepting new patients

Locations

3798 Janes Rd
Ste 20
Arcata, CA 95521
Phone (707) 822-4894

3798 Janes Rd
Ste 6
Arcata, CA 95521
Phone (707) 825-2663

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": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1932433950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4387",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955184387",
            "telephone_number": "707-822-7220",
            "fax_number": "707-826-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3798 JANES RD STE 20",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214746",
            "telephone_number": "707-822-0384",
            "fax_number": "707-822-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSHER-CARBIENER",
        "first_name": "CHARMAINE",
        "middle_name": "M.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-23",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP10751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcata, CA

Sources for this page

Verify at the official NPI Registry.