Individual provider Active NPI

Karen Van Leuven, PHD, FNP

  • Family Nurse Practitioner
  • Piedmont, CA
National Provider Identifier
1003967415
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
322586 Issued in CA
Practice address
2 Greenbank Ave
Piedmont, CA 94611-4334
Phone
(510) 499-7031
NPI assigned
Jan 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 322586 CA Primary

Addresses

Primary practice location

2 Greenbank Ave
Piedmont, CA 94611-4334

Mailing address

2 Greenbank Ave
Piedmont, CA 94611-4334
Phone (510) 499-7031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040701000415 CA Practitioner - Nurse Practitioner 6002893740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SNF Specialists Medical CorporationGroup PAC ID 3678849049, 26 clinicians

Practice addresses (Care Compare)

1255 Travis Blvd
Fairfield, CA 94533-4801
Phone (800) 973-1540

Hospital & facility affiliations

  • Bay Nation Home Health Services Inc Home health agency, Newark, CA, CCN 553127
  • Piedmont Gardens Health Facility Nursing home, Oakland, CA, CCN 056096

Merit-based Incentive Payment System (MIPS)

Final score
21.6 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
71.99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
11484CAMDAerospace Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SNF Specialists Medical Corporation CurrentSince Sep 1, 2018 Accepting new patients

Locations

2131 Carleton St
Berkeley, CA 94704
Phone (510) 843-2131

1255 Travis Blvd
Fairfield, CA 94533
Phone (707) 425-0623

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1003967415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 GREENBANK AVE",
            "city": "PIEDMONT",
            "state": "CA",
            "postal_code": "946114334",
            "telephone_number": "510-499-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 GREENBANK AVE",
            "city": "PIEDMONT",
            "state": "CA",
            "postal_code": "946114334",
            "telephone_number": "510-499-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN LEUVEN",
        "first_name": "KAREN",
        "credential": "PHD, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-13",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "322586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piedmont, CA

Sources for this page

Verify at the official NPI Registry.