Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Avery John Paulson, RN, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1013489715

Avery John Paulson, RN, NP is a Nurse Practitioner in San Luis Obispo, California. Qualified in 2022, 4 years ago. Practices with County of San Luis Obispo, an 11-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2018
Specialties on file
3
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2180 Johnson Ave
San Luis Obispo, CA 93401-4558
Phone: (805) 431-1334
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95024036 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 686849 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1013489715
Entity typeIndividual (Type 1)
GenderMale
Credentials RN , NP
Sole proprietorNo
NPI enumeratedDecember 19, 2018
Last updated in NPPESJune 2, 2023
Certification dateJune 2, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice County Of San Luis Obispo — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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