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ANN MARIE MCDONALD NP
NPI 1871809590
Nurse Practitioner - Primary Care in Pismo Beach, CA

Active since August 19, 2010PECOS EnrolledAccepts Medicare Assignment
2 JAMES WAY SUITE 214, PISMO BEACH, CA 93449(805) 332-8100 Get Directions Write a Review

NPPES record last updated: May 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 3, 2026, Aug 10, 2023, May 8, 2020 (3 updates tracked since 2020).

About Ann Marie Mcdonald Np NPPES

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

ANN MARIE MCDONALD NP (NPI 1871809590) is an individual primary care provider in Pismo Beach, California, licensed in California (19937) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1871809590
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameANN MARIE MCDONALDCredential: NP
Location Address2 JAMES WAY SUITE 214Pismo Beach, CA 93449
Mailing Address400 W Pueblo StSanta Barbara, CA 93105-4353 · (805) 682-7111
Phone(805) 332-8100
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 19, 2010
Last NPPES UpdateMay 3, 20263 updates tracked since enumeration
NPPES CertifiedMay 3, 2026
✔ NPI 1871809590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CA · 19937
Also ListedRegistered NurseTaxonomy 163W00000X · License 631884 (CA)
2 JAMES WAY SUITE 214, Pismo Beach, CA 93449
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Other Names 1

Former Name (1)Ann M Rohan Np

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

Ann Marie Mcdonald Np 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.

PECOS PAC ID3577756568
PECOS Enrollment IDI20101022000467
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Ann Mcdonald reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Health Centers Of The Central Coast Inc
2.8 mi
Clinic/Center
1205 E GRAND AVE STE H
Arroyo Grande, CA 93420
  • Reassigned Medicare billing, California enrollment
  • 213 clinicians in this Medicare group
NPI 1871010280 (805) 994-2300
Cep America - California
9.4 mi
Emergency Medicine
1911 JOHNSON AVENUE
San Luis Obispo, CA 93401
  • Reassigned Medicare billing, California enrollment
  • 1,204 clinicians in this Medicare group
NPI 1295781615 (805) 543-5353
Central Coast Urgent Care Inc
19 mi
Urgent Care
783 QUINTANA RD
Morro Bay, CA 93442
  • Reassigned Medicare billing, California enrollment
  • 18 clinicians in this Medicare group
NPI 1427372226 (805) 771-0108
Cottage Clinical Network, LLC
72 mi
Urgent Care
400 W PUEBLO ST
Santa Barbara, CA 93105
  • Reassigned Medicare billing, California enrollment
  • 36 clinicians in this Medicare group
NPI 1588209357 (805) 324-9936

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 9

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
237 services211 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
137 services137 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
76 services71 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
43 services41 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
28 services14 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93449 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
$91.64 typical visit price
range $59.84 – $178.89
Typical copayment $22.91 (range $14.96 – $44.72)
Most-billed visit code 99203
Established Patient
$104.82 typical visit price
range $19.70 – $146.55
Typical copayment $26.20 (range $4.92 – $36.63)
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.

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 Ann Mcdonald's NPI number?

The NPI number for Ann Mcdonald is 1871809590. It was assigned to this individual provider in the NPPES registry on August 19, 2010. The provider is also known as Ann M Rohan Np.

Where is Ann Mcdonald located?

Ann Mcdonald practices at 2 James Way Suite 214, Pismo Beach, CA 93449. The listed phone number is (805) 332-8100.

What is Ann Mcdonald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Ann Mcdonald enrolled in Medicare?

Yes. Ann Mcdonald 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 Ann Mcdonald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ann Mcdonald reassigns Medicare benefits to 4 organizations: Community Health Centers Of The Central Coast Inc (Arroyo Grande, CA), Cep America - California (San Luis Obispo, CA), Central Coast Urgent Care Inc (Morro Bay, CA) and Cottage Clinical Network, LLC (Santa Barbara, 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 Ann Mcdonald'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 Ann Mcdonald was last updated on May 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.