Active NPI
James Greenlee, NP
- Gerontology Nurse Practitioner
- Santa Rosa, CA
National Provider Identifier
1114901659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 9846
- Practice address
- 3841 Brickway Blvd
HBPC, VA San Francisco Health Care System
Santa Rosa, CA 95403-8226 - Phone
- (707) 569-2369
- Fax
- (707) 569-2323
- NPI assigned
- Nov 29, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 9846 | CA | Primary |
Addresses
Primary practice location
3841 Brickway Blvd
HBPC, VA San Francisco Health Care System
Santa Rosa, CA 95403-8226
Mailing address
824 Vineyard Creek Dr
#276
Santa Rosa, CA 95403-9006
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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.74 of 100
- Quality
- 94
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 65.12
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
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.
-
- Critical Access Hospital
- Clearlake, CA
- NPI 1124018031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265068800000",
"number": "1114901659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "824 VINEYARD CREEK DR",
"address_2": "#276",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954039006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3841 BRICKWAY BLVD",
"address_2": "HBPC, VA SAN FRANCISCO HEALTH CARE SYSTEM",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954038226",
"telephone_number": "707-569-2369",
"fax_number": "707-569-2323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENLEE",
"first_name": "JAMES",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-29",
"last_updated": "2010-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CA",
"license": "9846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.