MARY ALLISON REDDEN FNP-C NPI 1508381302

NPI Information

  • NPI: 1508381302
  • Provider Name: MARY ALLISON REDDEN, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3090 BRISTOL ST STE 200
    COSTA MESA, CA
    ZIP 92626
  • Phone: (888) 789-9585

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NPI Details

Mary Allison Redden, FNP-C is a family nurse practitioner in Costa Mesa, CA with 9 years of experience. Mary Allison Redden, FNP-C NPI is 1508381302. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

3090 BRISTOL ST STE 200
COSTA MESA, CA
ZIP 92626-061
Phone: (888) 789-9585
Fax: (562) 803-4500

The NPI 1508381302 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Cellesta or cellesta duo, per square centimeter (HCPCS:Q4184)
  • Kerecis omega3, per square centimeter (HCPCS:Q4158)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Follow-up nursing facility visit per day, typically 10 minutes (HCPCS:99307)
  • Established patient home visit, typically 40 minutes (HCPCS:99349)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less (HCPCS:15271)
  • Established patient home visit, typically 1 hour (HCPCS:99350)
  • Application of chemical to stop tissue regrowth in wound (HCPCS:17250)
  • Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)
  • Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less (HCPCS:15275)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Application of chemical to stop tissue regrowth in wound (HCPCS:17250)
  • Removal of skin and tissue, each additional 20.0 sq cm or less (HCPCS:11045)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
  • Established patient home visit, typically 25 minutes (HCPCS:99348)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Initial nursing facility visit per day, typically 25 minutes (HCPCS:99304)

The enumeration date for this NPI number is 8/14/2017 and was last updated on 1/28/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily95007137CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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