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

Mariah Rose Custer, FNP-C

Individual provider Nurse Practitioner · NPI 1881464147

Mariah Rose Custer, FNP-C is a Nurse Practitioner in Oakland, California. Qualified in 2023, 3 years ago. Practices with Alameda Health System, a 601-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2024
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1411 E 31st St
Oakland, CA 94602-1018
Phone: (510) 437-4800
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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 95028450 (CA)

Record details

NPI number1881464147
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedJanuary 8, 2024
Last updated in NPPESJanuary 8, 2024
Certification dateJanuary 6, 2024
Mailing address1411 E 31st St, Oakland, CA 94602-1018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Alameda Health System — 601 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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