MARK JASON GRANADA AGNP
NPI 1386353761
Nurse Practitioner - Gerontology in Merced, CA
About Mark Jason Granada Agnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK JASON GRANADA AGNP (NPI 1386353761) is an individual gerontology provider in Merced, California, licensed in California (95024681) and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
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
Mark Jason Granada Agnp 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95341 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MERCED, CA 95341
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 Mark Jason Granada's NPI number?
The NPI number for Mark Jason Granada is 1386353761. It was assigned to this individual provider in the NPPES registry on November 15, 2022.
Where is Mark Jason Granada located?
Mark Jason Granada practices at 857 W Childs Ave, Merced, CA 95341. The listed phone number is (209) 722-4842.
What is Mark Jason Granada's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Mark Jason Granada enrolled in Medicare?
Yes. Mark Jason Granada 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 Mark Jason Granada was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mark Jason Granada, AGNP · NPI 1386353761
Gerontology physician in Merced, California. Individual provider, active in the CMS NPPES registry since November 15, 2022.
## Identity
- **NPI:** 1386353761 (Entity type: Individual)
- **Enumerated:** November 15, 2022
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 95024681 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 857 W CHILDS AVE, Merced, CA 95341-6862
- **Phone:** (209) 722-4842
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1386353761) · Data from the CMS NPPES public registry.