DIRK M COLLEVECCHIO RN, AGNP-C
NPI 1467931360
Nurse Practitioner - Adult Health in San Francisco, CA

Q: What is Dirk Collevecchio's NPI number?

The NPI number for Dirk Collevecchio is 1467931360. It was assigned to this individual provider in the NPPES registry on August 10, 2018.

Q: What is Dirk Collevecchio's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dirk Collevecchio was last updated on March 22, 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.

Active since August 10, 2018PECOS Enrolled

4150 CLEMENT ST, SAN FRANCISCO, CA 94121(415) 221-4810 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 22, 2023, Oct 1, 2019, Aug 10, 2018 (3 updates tracked since 2018).

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About Dirk M Collevecchio Rn, Agnp-c NPPES

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

DIRK M COLLEVECCHIO RN, AGNP-C (NPI 1467931360) is an individual adult health provider in San Francisco, California, licensed in California (95015285) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467931360

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameDIRK M COLLEVECCHIOCredential: RN, AGNP-C

Location Address4150 CLEMENT STSan Francisco, CA 94121-1563

Mailing Address349 27th AveSan Francisco, CA 94121-1811 · (443) 243-3136

Phone(415) 221-4810

Sole ProprietorNo

Enumeration DateAugust 10, 2018

Last NPPES UpdateMarch 22, 20233 updates tracked since enumeration

NPPES CertifiedMarch 22, 2023

✔ NPI 1467931360 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

License✔ Licensed in CA · 95015285

4150 CLEMENT ST, San Francisco, CA 94121

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dirk M Collevecchio Rn, Agnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 94121 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.

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.

MR. SHANNON KISSINGER MSW

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