Janice M. Koehler, P.A.
Individual provider Active NPI Physician Assistant · Rancho Mirage, CA
NPI 1063523934 · NPPES record last updated Oct 12, 2023
Key facts
- NPI
- 1063523934
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 57606 (CA)
- Practice address
- 39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221 - Phone
- (760) 568-4330
- Fax
- (760) 568-6470
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Emory University School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eisenhower Medical Center
Practice addresses (Care Compare)
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911
39950 Vista del Sol
Rancho Mirage, CA 92270-3206
Phone (760) 340-0053
Hospital & facility affiliations
- Eisenhower Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.87 of 100
- Quality
- 85.37
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.18
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200310001339 | CA | Practitioner - Physician Assistant | 3375505902 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2134 | GA | MD | Clinical Psychologist |
| 57606 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eisenhower Medical Center | Current |
Accepting new patients | |
| Eisenhower Medical Center | Past | Accepting new patients |
Locations
39000 Bob Hope Dr
Ofc
Rancho Mirage, CA 92270
Phone (760) 333-1813
39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911
39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053
72201 Country Club Dr
Rancho Mirage, CA 92270
Phone (760) 340-5999
Interoperability endpoints
- jkoehler73436@direct.peacehealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 57606 | CA | Yes |
Addresses
Primary practice location
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Mailing address
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 568-4330
Other providers in Rancho Mirage, CA
- Geraldine Theresa Klein
- Rosie Knauf
- Charles I. Knoll
- David B Ko
- Hong-Ki Samuel Ko
- Sin Wee Koh-Gale
- Jeffrey Dean Kohfeld
- Renee Kolinoff-Schwarz
- Dhimiter Kondili
- Jason Raymond Kondrat
All providers in Rancho Mirage, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.