MARIN COMMUNITY CLINIC
NPI 1780292912
Clinic/Center - Community Health in Greenbrae, CA
About Marin Community Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIN COMMUNITY CLINIC (NPI 1780292912) is a healthcare organization registered as a community health in Greenbrae, California and active in the NPI registry since July 2020. The organization lists Andrea M Skelly, Revenue Credentialing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation 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).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
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, 5 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 1780292912. It was assigned to this organization in the NPPES registry on July 14, 2020.
Where is Marin Community Clinic located?
Marin Community Clinic is located at 1260 S Eliseo Dr Ste 201, Greenbrae, CA 94904. 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 Community Health, with taxonomy code 261QC1500X.
Is Marin Community Clinic enrolled in Medicare?
Yes. Marin Community Clinic is registered in the Medicare PECOS enrollment system.
When is Marin Community Clinic's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (California, Federally Qualified Health Center (FQHC)) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
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, 5 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 July 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 1780292912
Community Health organization in Greenbrae, California. Organization record, active in the CMS NPPES registry since July 14, 2020.
## Identity
- **NPI:** 1780292912 (Entity type: Organization)
- **Enumerated:** July 14, 2020
- **Primary specialty:** Clinic/Center - Community Health · taxonomy 261QC1500X
- **Organization subpart:** No
- **Authorized official:** Andrea Skelly, REVENUE CREDENTIALING MANAGER
## Practice location
- **Address:** 1260 S ELISEO DR STE 201, Greenbrae, CA 94904-2009
- **Phone:** (415) 448-1500 · **Fax:** (415) 798-3104
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Part A, California, Federally Qualified Health Center (FQHC)) · CMS Revalidation Due Date List, October 2026 release
- **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); 5 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 14, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1780292912) · Data from the CMS NPPES public registry.