MAYA FAN PROTTER MSN, RN, FNP
NPI 1629628037
Nurse Practitioner - Family in Burlingame, CA
About Maya Fan Protter Msn, Rn, Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAYA FAN PROTTER MSN, RN, FNP (NPI 1629628037) is an individual family provider in Burlingame, California, licensed in California (95012567) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Pablo, and is a graduate of University Of California, San Francisco School Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Maya Fan Protter Msn, Rn, Fnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Maya Protter reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Palo Alto, CA 94301
- Reassigned Medicare billing, California enrollment
- 4,479 clinicians in this Medicare group
Berkeley, CA 94702
- Reassigned Medicare billing, California enrollment
- 241 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94010 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.
BURLINGAME, CA 94010
BURLINGAME, CA 94010
BURLINGAME, CA 94010
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 Maya Protter's NPI number?
The NPI number for Maya Protter is 1629628037. It was assigned to this individual provider in the NPPES registry on September 17, 2019.
Where is Maya Protter located?
Maya Protter practices at 1501 Trousdale Dr, Burlingame, CA 94010. The listed phone number is (650) 652-8500.
What is Maya Protter's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Maya Protter enrolled in Medicare?
Yes. Maya Protter 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.
Which organizations bill Medicare for Maya Protter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maya Protter reassigns Medicare benefits to 2 organizations: Sutter Bay Medical Foundation (Palo Alto, CA) and Lifelong Medical Care (Berkeley, CA). Each 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 Maya Protter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Maya Protter was last updated on January 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Maya Fan Protter, MSN, RN, FNP · NPI 1629628037
Family physician in Burlingame, California. Individual provider, active in the CMS NPPES registry since September 17, 2019.
## Identity
- **NPI:** 1629628037 (Entity type: Individual)
- **Enumerated:** September 17, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95012567 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1501 TROUSDALE DR, Burlingame, CA 94010-4506
- **Phone:** (650) 652-8500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Sutter Bay Medical Foundation (NPI 1013950807, Palo Alto, CA); Lifelong Medical Care (NPI 1689670002, Berkeley, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, San Francisco School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** January 25, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1629628037) · Data from the CMS NPPES public registry.