CAITLIN HANAVAN RN, FNP-C
NPI 1366005068
Nurse Practitioner in Oakland, CA

Active since April 17, 2019PECOS EnrolledAccepts Medicare Assignment
3451 E 12TH ST, OAKLAND, CA 94601(510) 535-3500 Get Directions Write a Review

NPPES record last updated: August 2, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 2, 2021, Oct 27, 2020, Jun 12, 2019 and 1 more (4 updates tracked since 2019).

About Caitlin Hanavan Rn, Fnp-c NPPES

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

CAITLIN HANAVAN RN, FNP-C (NPI 1366005068) is an individual nurse practitioner in Oakland, California, licensed in California (95015134) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1366005068
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCAITLIN HANAVANCredential: RN, FNP-C
Location Address3451 E 12TH STOakland, CA 94601-3463
Mailing AddressPo Box 22210Oakland, CA 94623-2210 · (510) 535-4000 · Fax (510) 535-4189
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 17, 2019
Last NPPES UpdateAugust 2, 20214 updates tracked since enumeration
NPPES CertifiedJuly 7, 2021
NPI 1366005068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CA · 95015134
Definition

(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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 740098 (NY)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License F344494 (NY)
3451 E 12TH ST, Oakland, CA 94601

Secondary Practice Locations 3

Location 12240 Gladstone Dr Ste 4Pittsburg, CA 94565-5126 · Phone (925) 431-2100 · Fax (925) 431-1234
Location 2340 W 85th StNew York, NY 10024-6265 · Phone (212) 678-0570
Location 31894 Walton AveBronx, NY 10453-6018 · Phone (718) 583-3060

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

Caitlin Hanavan Rn, Fnp-c 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 ID7214268358
PECOS Enrollment IDI20191003003129, I20201029001067
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
25 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94601 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers22 claims54 services$5.04 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers13 claims18 services$0.86 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pediatrics
3451 E 12TH ST
OAKLAND, CA 94601
Physician Assistant (Medical)
3451 E 12TH ST
OAKLAND, CA 94601
Pharmacist
3451 E 12TH ST
OAKLAND, CA 94601
Pharmacist
3451 E 12TH ST
OAKLAND, CA 94601
Nurse Practitioner (Pediatrics)
3451 E 12TH ST
OAKLAND, CA 94601
Pharmacist
3451 E 12TH ST
OAKLAND, CA 94601
Registered Nurse
3451 E 12TH ST
OAKLAND, CA 94601
Counselor
3451 E 12TH ST
OAKLAND, CA 94601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366005068, enumerated as an "individual" on April 17, 2019.

The provider is located at 3451 E 12TH ST OAKLAND, CA 94601 and the phone number is (510) 535-3500.

Nurse Practitioner with taxonomy code 363L00000X.