Individual provider Active NPI

Nancy Menges, P.A.-C.

  • Physician Assistant
  • Simi Valley, CA
National Provider Identifier
1992175434
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
14174 Issued in CA
Practice address
2925 Sycamore Dr Ste 204-205
Simi Valley, CA 93065-1207
Phone
(805) 578-9620
Fax
(805) 955-0498
NPI assigned
Sep 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 14174 CA Primary

Addresses

Primary practice location

2925 Sycamore Dr Ste 204-205
Simi Valley, CA 93065-1207

Mailing address

3306 Big Cloud Cir
Thousand Oaks, CA 91360-1027
Phone (805) 341-6507

Other names 1

  • Nancy Enriquez Former name

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
I20151214001689 CA Practitioner - Physician Assistant 4082915145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of California, Davis School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventist Health Physicians NetworkGroup PAC ID 3274580972, 628 clinicians

Practice addresses (Care Compare)

124 Macaw LN
Simi Valley, CA 93065-3152
Phone (805) 306-0304

2755 Alamo St
Suite 201
Simi Valley, CA 93065-1311
Phone (805) 578-9620

Hospital & facility affiliations

  • Adventist Health Simi Valley Hospital, Simi Valley, CA, CCN 050236

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network CurrentSince Jul 15, 2024 Accepting new patients
Adventist Health Physicians Network CurrentSince Jul 15, 2024 Accepting new patients
Adventist Health Heart Institute-Ukiah Past Accepting new patients
Simi Valley Hospital and Health Care Services PastSince Jan 26, 2020 Accepting new patients

Locations

124 Macaw Ln
Simi Valley, CA 93065
Phone (805) 306-0304

2755 Alamo St
Ste 201
Simi Valley, CA 93065
Phone (805) 210-7280

2950 Sycamore Dr
Ste 200
Simi Valley, CA 93065
Phone (661) 705-9706

Interoperability endpoints

  • Direct secure messaging: nancy.menges.p7@direct.regal.nextgenshare.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1443312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1992175434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3306 BIG CLOUD CIR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601027",
            "telephone_number": "805-341-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 SYCAMORE DR STE 204-205",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651207",
            "telephone_number": "805-578-9620",
            "fax_number": "805-955-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENGES",
        "first_name": "NANCY",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-27",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "14174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "ENRIQUEZ",
            "credential": "P.A.-C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.