MARIN COMMUNITY CLINIC
NPI 1508514902
Clinic/Center - Federally Qualified Health Center (FQHC) in San Rafael, CA
About Marin Community Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIN COMMUNITY CLINIC (NPI 1508514902) is a healthcare organization registered as a federally qualified health center (fqhc) in San Rafael, California and active in the NPI registry since March 2022. The organization lists Andrea M Skelly, Billing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marin Community Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Marin Community Clinic, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 8
Clinicians, nearest first (17)
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 Marin Community Clinic's NPI number?
The NPI number for Marin Community Clinic is 1508514902. It was assigned to this organization in the NPPES registry on March 15, 2022.
Where is Marin Community Clinic located?
Marin Community Clinic is located at 1618 2nd St, San Rafael, CA 94901. The listed phone number is (415) 448-1500.
What is Marin Community Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Marin Community Clinic enrolled in Medicare?
Yes. Marin Community Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Marin Community Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 8 Medicare specialties reassign their Medicare billing to Marin Community Clinic. 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 Internal Medicine (5), Nurse Practitioner (4) and Family Practice (3). Of these, 8 practice 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 Marin Community Clinic was last updated on October 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Marin Community Clinic · NPI 1508514902
Federally Qualified Health Center (FQHC) organization in San Rafael, California. Organization record, active in the CMS NPPES registry since March 15, 2022.
## Identity
- **NPI:** 1508514902 (Entity type: Organization)
- **Enumerated:** March 15, 2022
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Andrea Skelly, BILLING MANAGER
## Practice location
- **Address:** 1618 2ND ST, San Rafael, CA 94901-2707
- **Phone:** (415) 448-1500 · **Fax:** (415) 798-3104
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 17 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (5), Nurse Practitioner (4), Family Practice (3); 8 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 3, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1508514902) · Data from the CMS NPPES public registry.