Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Renee Michelle Massicci, FNP-C

Individual provider Nurse Practitioner · NPI 1144012139

Renee Michelle Massicci, FNP-C is a Nurse Practitioner in Fresno, California. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2025
Specialties on file
2
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

4177 W Shaw Ave Ste 107
Fresno, CA 93722-6221
Phone: (559) 225-4706
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 199 W Shields Ave, Fresno, CA 93705-4102 — (599) 225-4706

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95037739 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95393670 (CA)

Record details

NPI number1144012139
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedMay 19, 2025
Last updated in NPPESFebruary 6, 2026
Certification dateFebruary 6, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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