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Active NPI 1366005068 Individual Practitioner Female Practitioner

Caitlin Hanavan , RN, FNP-C

Nurse Practitioner • Oakland, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Caitlin Hanavan, RN, FNP-C is a certified Nurse Practitioner practicing in Oakland, CA. With approximately 9 years of clinical experience since completing medical education in 2017, Caitlin Hanavan delivers high-quality medical care to the local community at 3451 E 12TH ST.

Caitlin Hanavan is affiliated with La Clinica De La Raza Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include hemoglobin a1c level, blood glucose (sugar) level. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3451 E 12th St

Oakland, CA 946013463

Telephone 5105353500
Associated Practice Facility / Clinic
🏢 La Clinica De La Raza Inc Facility NPI 1144336181

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Oakland, CA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -0.8 yrs vs City Avg
City Avg: 9.8 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
89 Specialists

Practicing in Oakland, CA (8378 Statewide)

Telehealth Adoption Rate
11.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
2.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hanavan (9 Years) 9 Yrs
Oakland Specialty Average (9.8 Years) 9.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
83036 Hemoglobin A1C level
25 19 $4.51 $4.42

Medical Specialties & State Licenses

CMS Verified: 2021-07-07
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA 95015134

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License NY F344494

Definition to come...

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License NY 740098

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Hospital & Practice Group Affiliations

La Clinica De La Raza Inc

2000 Sierra Rd, Concord, CA 945182905

Phone: 9253632000

La Clinica De La Raza Inc

2240 Gladstone Dr, Pittsburg, CA 945655126

Phone: 9254311230

Secondary Practice Locations

2240 Gladstone Dr Ste 4

Pittsburg, CA 945655126

Phone: 9254312100

340 W 85th St

New York, NY 100246265

Phone: 2126780570

1894 Walton Ave

Bronx, NY 104536018

Phone: 7185833060

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

34 Associated Practitioners
Dr. Ken Marriner , MD

Family Medicine

NPI 1013264126

Doctor of Medicine (M.D.)

NPI 1023441623

Doctor of Medicine (M.D.)

Monica San Basilio , FNP

Nurse Practitioner

NPI 1033587126

Family Nurse Practitioner

Sivan Sadeh , FNP-C

Nurse Practitioner - Family

NPI 1053080309

Family Nurse Practitioner (Certified)

Dr. Mark Robb , MD

Internal Medicine

NPI 1053499665

Doctor of Medicine (M.D.)

Layla Welborn , FNP

Nurse Practitioner - Family

NPI 1053711994

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location August 02, 2021

Registered at 3451 E 12TH ST, OAKLAND, CA 946013463 (Tel: 5105353500)

📍
Updated Practice Location October 27, 2020

Registered at 2240 GLADSTONE DR STE 4, PITTSBURG, CA 945655126 (Tel: 9254312100)

📍
Updated Business Mailing Address October 27, 2020

Registered at PO BOX 22210, OAKLAND, CA 946232210 (Tel: 5105354000)

📍
Updated Practice Location June 12, 2019

Registered at 1894 WALTON AVE, BRONX, NY 104536018 (Tel: 7185833060)

📍
Updated Business Mailing Address June 12, 2019

Registered at 1894 WALTON AVE, BRONX, NY 104536018 (Tel: 7185833060)

👤
Provider Name / Credentials Updated June 12, 2019

Recorded as CAITLIN HANAVAN, RN, FNP-C

NPI Profile Active April 17, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 17, 2019

Registered at 340 W 85TH ST, NEW YORK, NY 100246265 (Tel: 2126780570)

📍
Updated Business Mailing Address April 17, 2019

Registered at 340 W 85TH ST, NEW YORK, NY 100246265 (Tel: 2126780570)

👤
Provider Name / Credentials Updated April 17, 2019

Recorded as CAITLIN HANAVAN, RN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2019

Registered Nurse (License #740098 in NY)

🟢
Initial NPI Registration & Enumeration April 17, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366005068
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 17, 2019
Last Update: August 02, 2021
Sole Proprietor: No

Mailing Address

Po Box 22210

Oakland, CA 946232210

Phone: 5105354000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.