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MAREN HACKBUSCH PA-C, MPH
NPI 1932580362
Physician Assistant in Stockton, CA

Active since June 11, 2015PECOS EnrolledAccepts Medicare Assignment
4555 PRECISSI LN, STOCKTON, CA 95207(209) 477-4103(209) 477-1065 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2022, Aug 19, 2016, Mar 24, 2016 (3 updates tracked since 2016).

About Maren Hackbusch Pa-c, Mph NPPES

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

MAREN HACKBUSCH PA-C, MPH (NPI 1932580362) is an individual physician assistant in Stockton, California, licensed in California (52544) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1932580362
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMAREN HACKBUSCHCredential: PA-C, MPH
Location Address4555 PRECISSI LNStockton, CA 95207-6239
Mailing Address1691 The AlamedaSan Jose, CA 95126-2203 · (408) 795-3619
Phone(209) 477-4103
Fax(209) 477-1065
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 11, 2015
Last NPPES UpdateJanuary 3, 20223 updates tracked since enumeration
✔ NPI 1932580362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 52544
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4555 PRECISSI LN, Stockton, CA 95207
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maren Hackbusch Pa-c, Mph 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 ID5294043139
PECOS Enrollment IDI20150926000263
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95207 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AURORA KAY PETTETT RN
Registered Nurse
4555 PRECISSI LN
STOCKTON, CA 95207
San Joaquin County (209) 477-4103
SONJA WHITE PA-C
Physician Assistant (Medical)
4555 PRECISSI LN
STOCKTON, CA 95207
San Joaquin County (209) 477-4103
MS. SARAH MARIE WILLIAMS FNP-BC
Nurse Practitioner (Family)
4555 PRECISSI LN
STOCKTON, CA 95207
San Joaquin County (209) 477-4103
MRS. MORGAN BECKER NP
Nurse Practitioner (Family)
4555 PRECISSI LN
STOCKTON, CA 95207
San Joaquin County (209) 477-4103
JOY MARGARET MACDONALD
Registered Nurse
4555 PRECISSI LN
STOCKTON, CA 95207
San Joaquin County (209) 477-4103
MS. CATHERINE DAVIS NP
Nurse Practitioner (Women's Health)
4555 PRECISSI LN
STOCKTON, CA 95207
San Joaquin County (408) 287-7526
LINDA JENNIFER GEVERTS NP
Nurse Practitioner (Family)
4555 PRECISSI LN
STOCKTON, CA 95207
San Joaquin County (209) 477-4103
AYANNA BUSBY BSN, RN, PHN
Registered Nurse
4555 PRECISSI LN
STOCKTON, CA 95207
San Joaquin County (209) 477-4103

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 Maren Hackbusch's NPI number?

The NPI number for Maren Hackbusch is 1932580362. It was assigned to this individual provider in the NPPES registry on June 11, 2015.

Where is Maren Hackbusch located?

Maren Hackbusch practices at 4555 Precissi Ln, Stockton, CA 95207. The listed phone number is (209) 477-4103.

What is Maren Hackbusch's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Maren Hackbusch enrolled in Medicare?

Yes. Maren Hackbusch 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.

When was this NPI record last updated?

The NPPES record for Maren Hackbusch was last updated on January 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.