CAROL ANNE MCCORMICK NP NPI 1821004458

Nurse Practitioner (Psychiatric/Mental Health) in San Marino, CA

NPI 1821004458 Individual Female Years of Experience 16 Nurse Practitioner Psychiatric/Mental Health PECOS Enrolled Accepts Medicare Approved Payment

About CAROL MCCORMICK

Carol Mccormick is a provider established in San Marino, California and her medical specialization is nurse practitioner (psychiatric/mental health) with more than 16 years of experience. The NPI number of Carol Mccormick is 1821004458 and was assigned on August 2006. The practitioner's primary taxonomy code is 363LP0808X with license number 23089 (CA). The provider is registered as an individual and her NPI record was last updated 7 years ago.

A nurse practitioner (NP) like Carol Anne Mccormick Np is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Carol Mccormick is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Carol Mccormick is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

NPI

1821004458

Provider Name CAROL ANNE MCCORMICK NP
Provider Location Address2400 MISSION ST SAN MARINO, CA 91108
Provider Mailing Address4525 E ATHERTON ST LONG BEACH, CA 90815
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2006
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date08-01-2006
Last Update Date11-03-2014


Primary Taxonomy

Taxonomy Code363LP0808X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationPsychiatric/Mental Health
License No.23089
License StateCA

Business Address

CAROL ANNE MCCORMICK NP
2400 MISSION ST
SAN MARINO, CA
ZIP 91108
Phone: (626) 403-8989
Fax: (626) 403-8969

Get Directions


Mailing Address

CAROL ANNE MCCORMICK NP
4525 E ATHERTON ST
LONG BEACH, CA
ZIP 90815
Phone: (562) 961-0155
Fax: (562) 961-0161



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID2860496866
PECOS Enrollment IDI20130716000156
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 140Psychotherapy, 30 minutes with patient and/or family member (HCPCS:90833)

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
20841MEDICARE PIN (08)OH
344694MEDICARE PIN (08)OH
2771086MEDICAID (05)OH
HI453ZMEDICARE PIN (08)CA
Q70719MEDICARE PIN (08)OH

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1417999418DR. BERRY L. MCCORD M.D.
Individual
Psychiatry & Neurology (Psychiatry)2400 MISSION ST
SAN MARINO, CA 91108
(626) 403-8999
1497833891DR. ROBERT TRUJILLO PH.D
Individual
Psychologist (Clinical)2400 MISSION ST 209
SAN MARINO, CA 91108
(626) 403-7400
1265507644DR. RYAN R COURDY M.D.
Individual
Psychiatry & Neurology (Psychiatry)2400 MISSION ST
SAN MARINO, CA 91108
(626) 403-8999
1760510531DR. FRANK V MINERO M.D.
Individual
Psychiatry & Neurology (Psychiatry)2400 MISSION ST
SAN MARINO, CA 91108
(626) 403-8999
1639207400 AURA-MARIE PAWLEY M.D.
Individual
Psychiatry & Neurology (Neurology)2400 MISSION ST
SAN MARINO, CA 91108
(626) 403-8999
1689702466 CAMILLE J FAGENSON L.C.S.W.
Individual
Social Worker (Clinical)2400 MISSION ST
SAN MARINO, CA 91108
(626) 403-8999
1013045897 KAREN O GATES L.C.S.W.
Individual
Social Worker (Clinical)2400 MISSION ST
SAN MARINO, CA 91108
(626) 403-8999
1871621672 KAREN I MINERO L.C.S.W.
Individual
Social Worker (Clinical)2400 MISSION ST
SAN MARINO, CA 91108
(626) 403-8999
1114055183MS. LINDA M HILL MFT
Individual
Marriage & Family Therapist2400 MISSION ST
SAN MARINO, CA 91108
(626) 403-8999
1053449934DR. TERRY ANN BISSELL M.D.
Individual
Psychiatry & Neurology (Psychiatry)2400 MISSION ST
SAN MARINO, CA 91108
(626) 403-8999
1841328705DR. TIMOTHY J PYLKO M.D.
Individual
Psychiatry & Neurology (Psychiatry)2400 MISSION ST
SAN MARINO, CA 91108
(626) 403-8999
1730218264 DANIEL F DOYLE M.F.T.
Individual
Marriage & Family Therapist2400 MISSION ST
SAN MARINO, CA 91108
(626) 403-8999
1073642500 MARY JOY WON L.C.S.W.
Individual
Social Worker (Clinical)2400 MISSION ST
SAN MARINO, CA 91108
(626) 403-8999
1689704561MRS. MEGAN SNYDER-GROSSMAN M.F.T.
Individual
Marriage & Family Therapist2400 MISSION ST
SAN MARINO, CA 91108
(626) 403-8999
1932359445DR. WARREN RITCHIE CHRISTIANSON II D.O.
Individual
Psychiatry & Neurology (Psychiatry)2400 MISSION ST
SAN MARINO, CA 91108
(626) 403-8999
1174777908 SUSAN BREDHOFF
Individual
Marriage & Family Therapist2400 MISSION ST #105
SAN MARINO, CA 91108
(626) 792-9121
1831110071 DORA L WANG MD
Individual
Psychiatry & Neurology (Psychiatry)2400 MISSION ST
SAN MARINO, CA 91108
(626) 403-8999
1164811691SAN MARINO PSYCHIATRIC HOSPITALISTS, INC
Organization
Psychiatric Hospital2400 MISSION ST
SAN MARINO, CA 91108
(626) 403-8999
1811025679DR. DANIEL THOMAS SUZUKI M.D.
Individual
Psychiatry & Neurology (Psychiatry)2400 MISSION ST
SAN MARINO, CA 91108
(626) 403-8999
1174987630BARBARA L. JANETZKE, PHD
Organization
Psychologist (Clinical)2400 MISSION ST
SAN MARINO, CA 91108
(626) 255-7512

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.