Martha Plack, RN
Nurse Practitioner in San Francisco, CA. Individual provider (NPI-1).
NPI number1891531349
StatusActive
Last updated in NPPESSep 18, 2024
Details
- NPI
- 1891531349
- Entity type
- Individual (NPI-1)
- Name
- Martha Plack
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 3, 2024
- Certification date
- Aug 30, 2024
- Last updated
- Sep 18, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 95212247 | CA | Yes |
| 163W00000X | Registered Nurse | 95212247 | CA |
Practice location
1500 Franklin StSan Francisco, CA 94109-4523
Phone 415-474-7310
Mailing address
1500 Franklin StSan Francisco, CA 94109-4523
Phone 415-474-7310 · Fax 415-931-3773
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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