MS. RINNAH MACVITTIE (FNP-BC; AGNP-C) – Family Nurse Practitioner, NPI 1417346552

MS. RINNAH MACVITTIE (FNP-BC; AGNP-C) is a healthcare provider. based in Mount shasta, California. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC; AGNP-C. They hold a License No. 201500020NP-PP (OR). The NPI Number for MS. RINNAH MACVITTIE (FNP-BC; AGNP-C) is 1417346552

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MS. RINNAH MACVITTIE (FNP-BC; AGNP-C)
NPI
1417346552
Phone
(530) 926-6111
Address
914 PINE ST
Enumeration Date
13 January 2015
Last Update Date
17 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5308414100
Graduation Year
2014 (12 years ago)
PAC ID
3072830249
Group Practice PAC ID
8224280706
Professional Enrollment ID
I20181216000005
Address ID
CA960979538YR2060XDRXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:11State licenses:4Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for MS. RINNAH MACVITTIE (FNP-BC; AGNP-C)

  • 914 PINE ST

    MOUNT SHASTA, CA 960672143

    Phone: (530) 926-6111

    Fax: (530) 242-5183

    Type: Location

  • 1500 NW Bethany Blvd Ste 200

    Beaverton, OR 970065236

    Phone: (503) 207-5476

    Fax: (814) 479-5906

    Type: Location

  • 914 Pine St

    Mount Shasta, CA 960672143

    Phone: (530) 926-6111

    Fax: (530) 242-5183

    Type: Location

  • 16735 GREENWOOD LN

    WEED, CA 960949451

    Phone: (314) 308-8484

    Type: Mailing

  • 2415 HIGH SCHOOL AVE STE 700

    CONCORD, CA 945201879

    Phone: (415) 848-9111

    Type: Location

  • 1500 NW BETHANY BLVD STE 200

    BEAVERTON, OR 970065236

    Phone: (503) 207-5476

    Fax: (814) 479-5906

    Type: Location

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: 2018-12-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150327000203INurse PractitionerORTBD
I20181216000005INurse PractitionerCATBD

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 96067)

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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: 8224280706View full group profile
NameSpecialtyState
-CA
Clinical Social WorkerMA
Clinical Social WorkerMI
-CA
Clinical Social WorkerCA
Clinical Social WorkerTX
Clinical Social WorkerCA
-CA
Clinical Social WorkerCA
Clinical Social WorkerCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for MS. RINNAH MACVITTIE (FNP-BC; AGNP-C)?
MS. RINNAH MACVITTIE (FNP-BC; AGNP-C) — NPI 1417346552 — is the standard way to identify this listing.
Can I rely on MS. RINNAH MACVITTIE (FNP-BC; AGNP-C) being an active provider?
As of the registry snapshot, MS. RINNAH MACVITTIE (FNP-BC; AGNP-C) is marked active.
What taxonomy line describes MS. RINNAH MACVITTIE (FNP-BC; AGNP-C)?
For research purposes, treat MS. RINNAH MACVITTIE (FNP-BC; AGNP-C) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for MS. RINNAH MACVITTIE (FNP-BC; AGNP-C)?
MS. RINNAH MACVITTIE (FNP-BC; AGNP-C)'s geographic hint is Mount Shasta, California in our summary view.
Why does MS. RINNAH MACVITTIE (FNP-BC; AGNP-C) have multiple addresses?
7 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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