PROACTIVE CARE NURSING, INC
NPI 1154713790
Nurse Practitioner - Adult Health in Huntington Beach, CA

Active since February 18, 2015
17822 BEACH BLVD, SUITE 400, HUNTINGTON BEACH, CA 92647(714) 332-7016 Get Directions Write a Review

NPPES record last updated: April 4, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Proactive Care Nursing, Inc NPPES

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

PROACTIVE CARE NURSING, INC (NPI 1154713790) is a healthcare organization registered as an adult health in Huntington Beach, California and active in the NPI registry since February 2015. The organization lists Sherry E Do, Coo, as its authorized official.

NPPES Registry Identity

NPI1154713790
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NamePROACTIVE CARE NURSING, INC
Location Address17822 BEACH BLVD, SUITE 400Huntington Beach, CA 92647-7101
Mailing Address8692 Wagers CirHuntington Beach, CA 92647-5027 · (714) 332-7016
Organization SubpartNo
Authorized OfficialSherry E DoCoo · (714) 332-7016
Enumeration DateFebruary 18, 2015
Last NPPES UpdateApril 4, 2017
✔ NPI 1154713790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
17822 BEACH BLVD, Huntington Beach, CA 92647

Other Identifiers 1

Medicare UPINCB233434CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Proactive Care Nursing, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Proactive Care Nursing, Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Nurse Practitioner
NPI 1205067543
17822 BEACH BLVD SUITE 400
Huntington Beach, CA 92647
(714) 332-7016
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1477897452
17822 BEACH BLVD STE 400
Huntington Beach, CA 92647
(714) 332-7016
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1134512551
9351 LILY AVE
Fountain Valley, CA 92708
(714) 422-6605
✔ PECOS1.8 mi
Nurse Practitioner
NPI 1487051850
8972 POINSETTIA LN
Garden Grove, CA 92841
(714) 900-1041
✔ PECOS6.8 mi
Emergency Medicine
NPI 1073861712
1301 N ROSE DR
Placentia, CA 92870
(714) 993-2000
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1104273309
24552 PACIFIC PARK DR
Aliso Viejo, CA 92656
(949) 565-2377
✔ PECOS19 mi
Family Practice
NPI 1639312937
7400 MERTON MINTER ST
San Antonio, TX 78229
(210) 949-9702
✔ PECOS1,178 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Proactive Care Nursing, Inc's NPI number?

The NPI number for Proactive Care Nursing, Inc is 1154713790. It was assigned to this organization in the NPPES registry on February 18, 2015.

Where is Proactive Care Nursing, Inc located?

Proactive Care Nursing, Inc is located at 17822 Beach Blvd Suite 400, Huntington Beach, CA 92647. The listed phone number is (714) 332-7016.

What is Proactive Care Nursing, Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Proactive Care Nursing, Inc enrolled in Medicare?

Yes. Proactive Care Nursing, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Proactive Care Nursing, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Proactive Care Nursing, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5), Emergency Medicine (1) and Family Practice (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Proactive Care Nursing, Inc was last updated on April 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.