MRS. CAROL ANNE MOCK (FNP-CS) – Family Nurse Practitioner, NPI 1184748063

Family Nurse Practitioner

MRS. CAROL ANNE MOCK (FNP-CS) is a healthcare provider. based in Hemet, California. specializing in Family Nurse Practitioner. They hold the professional credentials FNP-CS. They hold a License No. RN235312 (CA). The NPI Number for MRS. CAROL ANNE MOCK (FNP-CS) is 1184748063

Main info

Female

27 Years Of Experience

Accepts Medicare Assignment

Name

MRS. CAROL ANNE MOCK (FNP-CS)

NPI

1184748063

Phone

(951) 665-1440

Address

1695 S. SAN JACINTO AVE.

Enumeration Date

18 March 2007

Last Update Date

19 July 2011

Doctor Profile

Medical School Name

OTHER

Secondary Phone

9512463033

Graduation Year

1999 (27 years ago)

PAC ID

5991873572

Group Practice PAC ID

7517906712

Professional Enrollment ID

I20081009000256

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience78

Completeness75

Years active:19State licenses:5Digital endpointsOther names

Provider Addresses for MRS. CAROL ANNE MOCK (FNP-CS)

1695 S. SAN JACINTO AVE.
HEMET, CA 92583
Phone: (951) 665-1440
Fax: (818) 696-2590
Type: Location
22400 GAVILAN RD
PERRIS, CA 92570
Phone: (951) 780-8565
Fax: (951) 780-7344
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-10-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20081009000256	I	Nurse Practitioner	CA	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92583)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 7517906712View full group profile

Name	Specialty	State
MRS. GLENNISE DANEEN PRATT (PA-C)	-	CA
MRS. FLENE A FOLSOM (PA-C)	-	CA
ROBERT K. BECK (MD)	-	CA
MISS SAFARINI NJAMBI NYAGGAH (P.A.)	-	CA

Reviews

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Frequently asked questions

Is MRS. CAROL ANNE MOCK (FNP-CS) listed with a National Provider Identifier?

Yes — MRS. CAROL ANNE MOCK (FNP-CS) has NPI 1184748063 on file in the registry.

Is MRS. CAROL ANNE MOCK (FNP-CS) shown as active in public data?

Registry records indicate MRS. CAROL ANNE MOCK (FNP-CS) maintains an active NPI.

How would a patient describe MRS. CAROL ANNE MOCK (FNP-CS)'s focus?

For MRS. CAROL ANNE MOCK (FNP-CS), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.

What practice footprint exists for MRS. CAROL ANNE MOCK (FNP-CS)?

Travel planning: use Hemet, California as the reference point for MRS. CAROL ANNE MOCK (FNP-CS), then confirm.

What does 2 location(s) imply?

2 practice locations appear in the available data.