Rachelle Luceil Enz, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95025996 Issued in CA

Practice address

1251 Camino del Sequan
Alpine, CA 91901-3047

Phone

(619) 890-7787

NPI assigned

Jul 20, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

National Medical University, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Farschad Birdjandi MD Inc 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grossmont Hospital Hospital, La Mesa, CA, CCN 050026

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Farschad Birdjandi MD Inc

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1558844019

  CA

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Grossmont Hospital Corporation

  • General Acute Care Hospital
  • La Mesa, CA
  • NPI 1528041811

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1942980255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 CAMINO DEL SEQUAN",
            "city": "ALPINE",
            "state": "CA",
            "postal_code": "919013047",
            "telephone_number": "619-890-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 CAMINO DEL SEQUAN",
            "city": "ALPINE",
            "state": "CA",
            "postal_code": "919013047",
            "telephone_number": "619-890-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENZ",
        "first_name": "RACHELLE",
        "middle_name": "LUCEIL",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95025996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chanda V Duong, RDA
• Iquo Andem Effiong, LCSW
• Elite Hospital Care, Inc
• Empathic Pathways Behavioral and Mental Health Foundation
• Empathic Pathways Psychology Inc.
• Kathryn R Esarey, MS, LPC
• Michelle Espejo, R.D.A.
• Diane Estrada
• Brianna Nicole Farnam
• Christopher Farrington, RN

• All providers in Alpine, CA
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.

Verify at the official NPI Registry.