MARCEL FOMOTAR CRNP-PMH
NPI 1447765409
Nurse Practitioner - Psychiatric/Mental Health in Clovis, CA
About Marcel Fomotar Crnp-pmh NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARCEL FOMOTAR CRNP-PMH (NPI 1447765409) is an individual psychiatric/mental health provider in Clovis, California, licensed in California (95014417) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Salisbury, and is a graduate of University Of South Alabama College Of Medicine (2022).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Marcel Fomotar Crnp-pmh 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 93619 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLOVIS, CA 93619
CLOVIS, CA 93619
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 Marcel Fomotar's NPI number?
The NPI number for Marcel Fomotar is 1447765409. It was assigned to this individual provider in the NPPES registry on December 12, 2017.
Where is Marcel Fomotar located?
Marcel Fomotar practices at 1085 Sanders Ave, Clovis, CA 93619. The listed phone number is (408) 449-6623.
What is Marcel Fomotar's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Marcel Fomotar enrolled in Medicare?
Yes. Marcel Fomotar 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 Marcel Fomotar was last updated on September 16, 2022. 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.
# Marcel Fomotar, CRNP-PMH · NPI 1447765409
Psychiatric/Mental Health physician in Clovis, California. Individual provider, active in the CMS NPPES registry since December 12, 2017.
## Identity
- **NPI:** 1447765409 (Entity type: Individual)
- **Enumerated:** December 12, 2017
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95014417 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1085 SANDERS AVE, Clovis, CA 93619-3935
- **Phone:** (408) 449-6623
## 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:** University Of South Alabama College Of Medicine, class of 2022
## Record status
- **NPPES last updated:** September 16, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1447765409) · Data from the CMS NPPES public registry.