Individual provider Active NPI

Michael Patrick Hultin

  • Family Nurse Practitioner
  • Visalia, CA
National Provider Identifier
1952866451
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95011106 Issued in CA
Practice address
221 E Caldwell Ave
Visalia, CA 93277-7605
Phone
(559) 732-4726
NPI assigned
Feb 8, 2019
Last updated
Feb 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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 95011106 CA Primary

Addresses

Primary practice location

221 E Caldwell Ave
Visalia, CA 93277-7605

Mailing address

221 E Caldwell Ave
Visalia, CA 93277-7605

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
I20190703000462 CA Practitioner - Nurse Practitioner 5890029342 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jason Roos DO a Professional Medical CorporationGroup PAC ID 4789082561, 10 clinicians

Practice addresses (Care Compare)

1700 W Walnut Ave
Suite a
Visalia, CA 93277-6233
Phone (559) 409-4720

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
22.54 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95011106CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Nov 27, 2023 Accepting new patients
Adventist Health Physicians Network CurrentSince Nov 27, 2023 Accepting new patients
Jason Roos DO a Professional Medical Corporation CurrentSince Oct 15, 2021 Accepting new patients

Locations

1680 E Herndon Ave
Ste 102
Fresno, CA 93720
Phone (559) 401-6058

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

1700 W Walnut Ave
#A
Visalia, CA 93277
Phone (559) 409-4720

805 W Acequia Ave
Ste 1B
Visalia, CA 93291
Phone (559) 409-4720

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1952866451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 E CALDWELL AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932777605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E CALDWELL AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932777605",
            "telephone_number": "559-732-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULTIN",
        "first_name": "MICHAEL",
        "middle_name": "PATRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-08",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95011106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.