Skip to content

Miriam Avena-Mascareno, FNP-C

NPI 1629797246ActiveIndividual· Nurse Practitioner, Family· Petaluma, CA

Nurse Practitioner, Family (FNP-C) in Petaluma, California, licensed in CA, with an NPI issued in August 2022. Part D covered 382 prescriptions written in 2024, 84% of them generic.

Overview

NPI1629797246
StatusActive
Entity typeIndividual
CredentialFNP-C
Sole proprietorNo
NPI issuedAug 25, 2022
Last updated in NPPESFeb 13, 2023
Certified by providerFeb 13, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000X95021379CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Order and Referring Only - Nurse Practitioner (CA)

Part D prescriptions in 2024

Prescriptions (claims)382 · 723 30-day fills
Patients71
Total drug cost$31,354
Generic share84% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Nurse Practitioner, Family providers in Petaluma

All Nurse Practitioner, Family providers in California →