Joselyn Arandia Deculing , NURSE PRACTITIONER
Nurse Practitioner • Modesto, CA
1234 Mchenry Ave
Modesto, CA 953505373
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Joselyn Deculing is listed in NPPES under Nurse Practitioner.
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NPI assigned on November 26, 2013; this date does not establish years in practice.
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Published CMS data list 6,832 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99309 — Subsequent nursing facility care with moderate level of medical decision making, per day: 2,762 service units.
- 99310 — Subsequent nursing facility care with high level of medical decision making, per day: 1,950 service units.
- 99349 — Residence visit for established patient with moderate level of medical decision making, per day: 847 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 17 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 6,888 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Atorvastatin Calcium — 402 prescription fills, including refills.
- Levothyroxine Sodium — 350 prescription fills, including refills.
- Lisinopril — 306 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 124 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Modesto, CA (2024, 29 clinicians with data). Median for this group: 245. Middle half: 61 to 751.
More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in California (2024, 2,070 clinicians with data). Median for this group: 201. Middle half: 73 to 538.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 435 in 2020 to 6,832 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
1234 Mchenry Ave
Modesto, CA 953505373
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Advance Nursing Practice Medical Group Inc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2012
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
612 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $730,697 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $547,402 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
6,950 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$348,177 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $44.76 across 2 records.
By nature of payment
- Food and Beverage: $44.76 across 2 records.
Reporting-company totals
- Novo Nordisk Inc: $24.32 across 1 record.
- Organogenesis Inc.: $20.44 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
14 years (graduated 2012)
CMS Doctors and Clinicians data list 2012 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2013
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Joselyn Deculing has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Joselyn Deculing as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Modesto and California
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Modesto, CA (2024, 29 clinicians with data). Median for this group: 245. Middle half: 61 to 751.
More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in California (2024, 2,070 clinicians with data). Median for this group: 201. Middle half: 73 to 538.
Medicare-allowed amount
A higher Medicare-allowed amount than 95% of clinicians listed under Nurse Practitioner in Modesto, CA (2024, 29 clinicians with data). Median for this group: $28,170. Middle half: $7,312 to $84,129.
A higher Medicare-allowed amount than 95% of clinicians listed under Nurse Practitioner in California (2024, 2,070 clinicians with data). Median for this group: $18,428. Middle half: $6,851 to $46,917.
Paid by Medicare
A higher Medicare payment amount than 95% of clinicians listed under Nurse Practitioner in Modesto, CA (2024, 29 clinicians with data). Median for this group: $22,158. Middle half: $5,826 to $60,248.
A higher Medicare payment amount than 95% of clinicians listed under Nurse Practitioner in California (2024, 2,070 clinicians with data). Median for this group: $13,640. Middle half: $4,992 to $34,836.
Medicare Part D prescriptions
More Part D prescriptions than 95% of clinicians listed under Nurse Practitioner in Modesto, CA (2024, 46 clinicians with data). Median for this group: 368. Middle half: 91 to 1,347.
More Part D prescriptions than 95% of clinicians listed under Nurse Practitioner in California (2024, 3,221 clinicians with data). Median for this group: 248. Middle half: 63 to 852.
Part D drug cost
A higher Part D drug cost than 90% of clinicians listed under Nurse Practitioner in Modesto, CA (2024, 46 clinicians with data). Median for this group: $11,121. Middle half: $938 to $68,270.
A higher Part D drug cost than 85% of clinicians listed under Nurse Practitioner in California (2024, 3,221 clinicians with data). Median for this group: $13,982. Middle half: $995 to $121,041.
93 active clinicians are listed under Nurse Practitioner with a practice address in Modesto, CA (8,237 in California).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Modesto
14% of these 93 clinicians have the CMS telehealth indicator.
38.7% of these 93 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 1471% from 435 in 2020 to 6,832 in 2024.
- 2020: 435
- 2021: 2,345
- 2022: 5,799
- 2023: 5,951
- 2024: 6,832
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Medicare-allowed amount
Medicare-allowed amount increased 1971% from $35,284 in 2020 to $730,697 in 2024.
- 2020: $35,284
- 2021: $252,513
- 2022: $618,582
- 2023: $720,159
- 2024: $730,697
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Paid by Medicare
Paid by Medicare increased 1851% from $28,057 in 2020 to $547,402 in 2024.
- 2020: $28,057
- 2021: $201,622
- 2022: $484,627
- 2023: $566,218
- 2024: $547,402
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 6523% from 104 in 2020 to 6,888 in 2024.
- 2020: 104
- 2021: 225
- 2022: 455
- 2023: 672
- 2024: 6,888
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30-day fills
30-day fills increased 6583% from 104 in 2020 to 6,950 in 2024.
- 2020: 104
- 2021: 225
- 2022: 455
- 2023: 676
- 2024: 6,950
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Part D drug cost
Part D drug cost increased 3679% from $9,213 in 2020 to $348,177 in 2024.
- 2020: $9,213
- 2021: $6,433
- 2022: $8,809
- 2023: $19,251
- 2024: $348,177
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $280.00 in 2023 to $44.76 in 2025.
- 2023: $280.00
- 2024: $17.69
- 2025: $44.76
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $44.76.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Wegovy | General | $24.32 |
| Organogenesis Inc. |
Food and Beverage
In-kind items and services
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AFFINITY | General | $20.44 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2019–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2020–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99309
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
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2,762 | 242 | $150.29 | $91.52 |
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99310
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
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1,950 | 196 | $200.00 | $129.51 |
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99349
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
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847 | 212 | $224.19 | $118.45 |
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99497
Advance care planning, first 30 minutes
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181 | 160 | $125.00 | $63.18 |
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99306
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more
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172 | 152 | $275.00 | $153.32 |
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99308
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more
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162 | 60 | $125.46 | $63.35 |
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99497
Advance care planning, first 30 minutes
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161 | 149 | $125.00 | $77.89 |
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99345
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes
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149 | 149 | $387.00 | $191.60 |
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99348
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes
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140 | 93 | $135.00 | $70.10 |
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99316
Nursing facility discharge management, more than 30 minutes
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81 | 78 | $250.00 | $110.50 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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65 | 55 | $236.05 | $103.83 |
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G0179
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a
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48 | 36 | $90.00 | $36.72 |
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99309
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
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39 | 35 | $152.56 | $91.38 |
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99347
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes
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27 | 26 | $78.00 | $41.12 |
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G0180
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
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23 | 23 | $108.00 | $46.92 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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13 | 13 | $342.00 | $143.66 |
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G0181
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow
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12 | 12 | $225.42 | $82.67 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 402 | 10,660 | $3,462.29 | 59 |
| Levothyroxine Sodium | Levothyroxine Sodium | 350 | 9,555 | $2,667.10 | 33 |
| Lisinopril | Lisinopril | 306 | 8,087 | $1,863.52 | 35 |
| Amlodipine Besylate | Amlodipine Besylate | 261 | 7,257 | $1,817.54 | 38 |
| Furosemide | Furosemide | 204 | 4,723 | $1,063.35 | 38 |
| Metformin Hcl | Metformin Hcl | 161 | 4,277 | $1,070.78 | 20 |
| Omeprazole | Omeprazole | 161 | 4,102 | $949.26 | 20 |
| Tamsulosin Hcl | Tamsulosin Hcl | 153 | 3,811 | $1,661.23 | 21 |
| Pantoprazole Sodium | Pantoprazole Sodium | 150 | 3,999 | $1,798.90 | 22 |
| Gabapentin | Gabapentin | 148 | 4,155 | $2,706.63 | 20 |
| Losartan Potassium | Losartan Potassium | 146 | 3,923 | $1,758.37 | 18 |
| Trazodone Hcl | Trazodone Hcl | 136 | 3,419 | $1,408.66 | 17 |
| Tramadol Hcl | Tramadol Hcl | 134 | 1,264 | $1,584.58 | 15 |
| Metoprolol Succinate | Metoprolol Succinate | 128 | 3,400 | $1,778.65 | 15 |
| Famotidine | Famotidine | 118 | 3,076 | $771.35 | 12 |
| Quetiapine Fumarate | Quetiapine Fumarate | 115 | 3,098 | $1,371.32 | 15 |
| Lactulose | Lactulose | 114 | 3,407 | $3,424.11 | 16 |
| Simvastatin | Simvastatin | 111 | 2,913 | $641.42 | 13 |
| Lorazepam | Lorazepam | 110 | 1,949 | $1,568.40 | 33 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 107 | 1,103 | $2,397.76 | 27 |
| Jardiance | Empagliflozin | 104 | 1,908 | $41,773.90 | — |
| Hydrochlorothiazide | Hydrochlorothiazide | 93 | 2,562 | $381.84 | 11 |
| Potassium Chloride | Potassium Chloride | 89 | 2,503 | $1,236.87 | 12 |
| Levetiracetam | Levetiracetam | 87 | 2,305 | $1,800.72 | 12 |
| Metoprolol Tartrate | Metoprolol Tartrate | 86 | 2,065 | $669.21 | 13 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
NUCC Taxonomy Code: 261QU0200X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20141112001852
CA
2567684210
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Advance Nursing Practice Medical Group Inc
600 Walnut Woods Ct, Modesto, CA 953569656
Phone: 2098724323
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physician Assistant (Certified)
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Family Medicine
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated November 26, 2013.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Nurse Practitioners in Modesto
- Brandi Johnson, MSN, RN, ACNP-BC
- Shoua Her, NP
- Jane Hellman, FNP, MSN
- Karlene Bert, NURSE PRACTITIONER
- Tracy Bondi, NP
- Jane Joseph
Mailing Address
1409 Lecourbe Ct
Modesto, CA 953568905
Phone: 2095964679