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

Mr. Wayne Carpenter, FNP

Individual provider Family Nurse Practitioner · NPI 1053599464

Mr. Wayne Carpenter, FNP is a Nurse Practitioner in Rancho Mirage, California. Qualified in 2019, 7 years ago. Practices with Tobias Moeller-Bertram MD Corporation, a 55-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2008
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

36101 Bob Hope Dr Ste A
Rancho Mirage, CA 92270
Phone: (760) 773-4948
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95029611 (CA)

Record details

NPI number1053599464
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedFebruary 7, 2008
Last updated in NPPESJuly 5, 2024
Certification dateJuly 5, 2024
Mailing address6351 Imperial Dr, Yucca Valley, CA 92284-2252

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 Tobias Moeller-Bertram Md Corporation — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Rancho Mirage