Anette McGowan, NP-C, RN, MSN

Primary specialty

Neuroscience Clinical Nurse SpecialistTaxonomy code 364SN0800X

License

11390 Issued in CA

Practice address

79430 Highway 111 Ste 101
La Quinta, CA 92253-4549

Phone

(760) 564-3533

Fax

(760) 564-3360

NPI assigned

Feb 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Desert Hematology-Oncology Medical Group IncGroup PAC ID 2567470214, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

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.

• Desert Hematology-Oncology Medical Group Inc

  • Hematology & Oncology Physician
  • Rancho Mirage, CA
  • NPI 1427069368
  Medicare reassignment Care Compare group NPD
• Eisenhower Medical Center

  dba Eisenhower Health

  • General Acute Care Hospital
  • Rancho Mirage, CA
  • NPI 1013981554
  NPD (past)

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

• Eisenhower Medical Center

  dba Eisenhower Health

  • General Acute Care Hospital
  • Rancho Mirage, CA
  • NPI 1013981554
  Care Compare affiliation

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962478479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79430 HIGHWAY 111",
            "address_2": "101",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922534549",
            "telephone_number": "760-564-3533",
            "fax_number": "760-564-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79430 HIGHWAY 111 STE 101",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922534549",
            "telephone_number": "760-564-3533",
            "fax_number": "760-564-3360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42575 Washington St",
            "address_2": "# A",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922118850",
            "country_code": "US",
            "telephone_number": "760-360-0333 x252",
            "fax_number": "760-360-1053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGOWAN",
        "first_name": "ANETTE",
        "name_prefix": "Mrs.",
        "credential": "NP-C, RN, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SN0800X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Neuroscience",
            "state": "CA",
            "license": "11390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "E1680Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rodelyn Massucci
• Maxim Healthcare Services, Inc.
• Maxim Healthcare Services, Inc.
• Maxim Healthcare Services, Inc.
• Cami Lee Ellen McChesney, FNP-C
• Derek Richard McGowan, CADC-I
• Esther Caroline McGowan, M.D.
• Carly McLarty, ND
• Joan McLoughlin, RN
• Edward A McMahon, 183500000X

• Clinical Nurse Specialist in La Quinta, CA
• Providers in La Quinta, CA by specialty
• Clinical Nurse Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.