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

Marcie Lynn Hulpa

Individual provider Nurse Practitioner · NPI 1629616412

Marcie Lynn Hulpa is a Nurse Practitioner in Los Angeles, California. Qualified in 2019, 7 years ago. Practices with Providence Saint Johns Medical Foundation, a 285-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
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Practice location Address checks out

11812 Gorham Ave Apt 203
Los Angeles, CA 90049-5491
Phone: (219) 789-7789
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95013351 (CA)

Record details

NPI number1629616412
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 12, 2019
Last updated in NPPESDecember 12, 2019
Certification dateDecember 12, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Providence Saint Johns Medical Foundation — 285 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Los Angeles