Active NPI
Kim M Schoen, NP
- Psychiatric/Mental Health Nurse Practitioner
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 11315
- Practice address
- 90 Van Ness Ave
Central City Older Adult Mental Health Consultation
San Francisco, CA 94102-6013 - Phone
- (415) 558-5900
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 11315 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11315 | CA | Primary |
Addresses
Primary practice location
90 Van Ness Ave
Central City Older Adult Mental Health Consultation
San Francisco, CA 94102-6013
Mailing address
784 Reina del Mar Ave
Pacifica, CA 94044-3154
Phone (415) 225-5292
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2712 Mission St
San Francisco, CA 94110-3104
Phone (415) 401-2700
760 Harrison St
San Francisco, CA 94107-1235
Phone (415) 836-1700
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.2 of 100
- Quality
- 61.12
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 83.72
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City and County of San Francisco | Current | Accepting new patients | |
| City & County of San Francisco | Current | Accepting new patients | |
| City & County of San Francisco | Current | Accepting new patients | |
| City & County of San Francisco | Past | Accepting new patients |
Locations
760 Harrison St
San Francisco, CA 94107
Phone (415) 836-1700
3850 17th St
San Francisco, CA 94114
Phone (415) 487-7500
Organizations & group practices 4
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.
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-
- Mental Health Clinic/Center (Including Community Mental Health Center)
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- NPI 1942420922
-
- Methadone Clinic
- San Francisco, CA
- NPI 1578787925
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Francisco, CA
- NPI 1548379373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333670400000",
"number": "1063508992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "784 REINA DEL MAR AVE",
"city": "PACIFICA",
"state": "CA",
"postal_code": "940443154",
"telephone_number": "415-225-5292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 VAN NESS AVE",
"address_2": "CENTRAL CITY OLDER ADULT MENTAL HEALTH CONSULTATION",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941026013",
"telephone_number": "415-558-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOEN",
"first_name": "KIM",
"middle_name": "M",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2012-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "11315",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "11315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.