NPIMap

Individual provider Active NPI

Mary Petrofsky, NP

  • Acute Care Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1013220359
Registry record updated Aug 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
NP 18337 Issued in CA
Practice address
505 Parnassus Ave RM M1286
San Francisco, CA 94143-2204
Phone
(415) 527-8322
Fax
(415) 476-0624
NPI assigned
Jul 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP 18337 CA
Acute Care Nurse Practitioner 363LA2100X NP 18337 CA Primary

Addresses

Primary practice location

505 Parnassus Ave RM M1286
San Francisco, CA 94143-2204

Mailing address

505 Parnassus Ave RM M1286
San Francisco, CA 94143-2204
Phone (415) 527-8322

Other practice location 1

300 Pasteur Drive
Room H0105, Mail Code 5221
Stanford, CA 94305-5221
Phone (650) 736-2536

Other identifiers 1

IdentifierTypeStateIssuer
1437292927OtherCAMEDI-CAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110114001030 CA Practitioner - Nurse Practitioner 6608065040 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians

Practice addresses (Care Compare)

225 California Dr
Burlingame, CA 94010-4145
Phone (650) 341-9131

400 Parnassus Ave
San Francisco, CA 94143-2202

Hospital & facility affiliations

  • UCSF Medical Center Hospital, San Francisco, CA, CCN 050454
  • Peninsula Medical Center Hospital, Burlingame, CA, CCN 050007
  • Sequoia Hospital Hospital, Redwood City, CA, CCN 050197

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95
Improvement activities
40
Cost
80.65

Merit-based Incentive Payment System (MIPS)

Final score
88.53 of 100Reported as group
Quality
87.08
Promoting interoperability
100
Improvement activities
40
Cost
69.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP 18337CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Apr 30, 2020 Accepting new patients
UCSF Medical Group Business Services CurrentSince Apr 30, 2020 Accepting new patients
University of California San Francisco Current Accepting new patients
Stanford Health Care Current Accepting new patients
Stanford Health Care CurrentSince Oct 3, 2010 Accepting new patients
Regents of the University of California CurrentSince Apr 30, 2020 Accepting new patients
Stanford Health Care CurrentSince Oct 3, 2010 Accepting new patients
University of California San Francisco CurrentSince Apr 30, 2020 Accepting new patients
UCSF Medical Group Business Services Nurse Practitioner CurrentSince Apr 30, 2020 Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
University of California San Francisco Past Accepting new patients
Regents of the University of California Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

505 Parnassus Ave
Rm M1286
San Francisco, CA 94143
Phone (415) 527-8322

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

300 Pasteur Dr
Rm H105
Stanford, CA 94305
Phone (650) 683-5314

Interoperability endpoints

  • Direct secure messaging: mpetrofsky126772@direct-ucsfmedicalcenter.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

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": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691280000000",
    "number": "1013220359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE RM M1286",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432204",
            "telephone_number": "415-527-8322",
            "fax_number": "415-476-0624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE RM M1286",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432204",
            "telephone_number": "415-527-8322",
            "fax_number": "415-476-0624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Pasteur Drive",
            "address_2": "Room H0105, Mail Code 5221",
            "address_purpose": "LOCATION",
            "city": "Stanford",
            "state": "CA",
            "postal_code": "943055221",
            "country_code": "US",
            "telephone_number": "650-736-2536",
            "fax_number": "650-736-2547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETROFSKY",
        "first_name": "MARY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-15",
        "last_updated": "2023-08-06",
        "certification_date": "2023-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP 18337",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "NP 18337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "1437292927",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.