Individual provider

Mae Doctor, NP

Family Nurse Practitioner

Mae Doctor, NP is a Family Nurse Practitioner in Mcclellan, CA, registered under NPI 1104196930. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 5342 DUDLEY BLVD, Mcclellan, CA 95652. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

5342 DUDLEY BLVD, Mcclellan, CA 95652 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
19705 CA Family Nurse Practitioner primary
APN001042 NV Family Nurse Practitioner

Licences are recorded in 2 states: CA, NV. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

Licensed in 2 states

This provider holds licences in 2 states: California and Nevada. The practice address on file is in Mcclellan, CA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CA California practice address
Licence
19705
Specialty
Family Nurse Practitioner
Verify with the CA board →
NV Nevada
Licence
APN001042
Specialty
Family Nurse Practitioner
Verify with the NV board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Family covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LF0000X Family Nurse Practitioner Family 19705 CA primary
363LF0000X Family Nurse Practitioner Family APN001042 NV

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104196930 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJan 11, 2012
Last updatedJan 11, 2012
StatusActive
Sole proprietorYes
CredentialNP
Practice address 5342 DUDLEY BLVD
Mcclellan, CA 95652
(916) 561-7400
This record was last updated on Jan 11, 2012, roughly 14 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1104196930 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 1 9 6 9 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 2 9 3 9 6

Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104196930?
NPI 1104196930 is the National Provider Identifier assigned to Mae Doctor, NP in Mcclellan, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family cover?
Definition to come...
How do I contact Mae Doctor, NP?
The phone number on file with NPPES is (916) 561-7400, last updated Jan 11, 2012. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1104196930 a valid number?
Yes. 1104196930 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.