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

Marianna Grace Bettina Pucillo, NP

Individual provider Nurse Practitioner · NPI 1124658067

Marianna Grace Bettina Pucillo, NP is a Nurse Practitioner in Truckee, California. Qualified in 2017, 9 years ago. Practices with Tahoe Forest Hospital District, a 142-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2020
What do these letters mean?
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

10121 Pine Ave
Truckee, CA 96161-4835
Phone: (530) 550-7206
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95013728 (CA)

Record details

NPI number1124658067
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJanuary 20, 2020
Last updated in NPPESJanuary 20, 2020
Certification dateJanuary 20, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Tahoe Forest Hospital District — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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