AVERY JOHN PAULSON RN, NP
NPI 1013489715
Nurse Practitioner - Psychiatric/Mental Health in San Luis Obispo, CA

Active since December 19, 2018PECOS EnrolledAccepts Medicare Assignment
2180 JOHNSON AVE, SAN LUIS OBISPO, CA 93401(805) 431-1334 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 2, 2023, Apr 11, 2023, Jan 30, 2023 and 3 more (6 updates tracked since 2018).

About Avery John Paulson Rn, Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVERY JOHN PAULSON RN, NP (NPI 1013489715) is an individual psychiatric/mental health provider in San Luis Obispo, California, licensed in California (95024036) and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1013489715
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameAVERY JOHN PAULSONCredential: RN, NP
Location Address2180 JOHNSON AVESan Luis Obispo, CA 93401-4558
Mailing Address2180 Johnson AveSan Luis Obispo, CA 93401-4558
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 19, 2018
Last NPPES UpdateJune 2, 20236 updates tracked since enumeration
NPPES CertifiedJune 2, 2023
NPI 1013489715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CA · 95024036
Also ListedRegistered NurseTaxonomy 163W00000X · License 686849 (CA)
2180 JOHNSON AVE, San Luis Obispo, CA 93401

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Avery John Paulson Rn, Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840645933
PECOS Enrollment IDI20231010001294
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.64 typical visit price
range $59.84 – $178.89
Typical copayment $22.91 (range $14.96 – $44.72)
Most-billed visit code 99203
Established Patient
$104.82 typical visit price
range $19.70 – $146.55
Typical copayment $26.20 (range $4.92 – $36.63)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
Licensed Psychiatric Technician
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
Licensed Psychiatric Technician
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
Marriage & Family Therapist
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
Community Health Worker
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
Counselor (Addiction (Substance Use Disorder))
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
Counselor (Addiction (Substance Use Disorder))
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
Registered Nurse
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avery Paulson's NPI number?

The NPI number for Avery Paulson is 1013489715. It was assigned to this individual provider in the NPPES registry on December 19, 2018.

Where is Avery Paulson located?

Avery Paulson practices at 2180 Johnson Ave, San Luis Obispo, CA 93401. The listed phone number is (805) 431-1334.

What is Avery Paulson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Avery Paulson enrolled in Medicare?

Yes. Avery Paulson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Avery Paulson was last updated on June 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.