Individual provider Active NPI

Paula Stoddard

  • Primary Care Nurse Practitioner
  • Hanford, CA
National Provider Identifier
1164007118
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN289878 Issued in GA
Practice address
609 N Douty St
Hanford, CA 93230-3912
Phone
(559) 582-2422
NPI assigned
Mar 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN289878 GA Primary

Addresses

Primary practice location

609 N Douty St
Hanford, CA 93230-3912

Mailing address

609 N Douty St
Hanford, CA 93230-3912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20230131000122 CO Practitioner - Nurse Practitioner 3173994142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology of Colorado PCGroup PAC ID 8325337330, 65 clinicians

Practice addresses (Care Compare)

9399 Crown Crest Blvd
Suite 400
Parker, CO 80138-8540
Phone (720) 343-2103

Merit-based Incentive Payment System (MIPS)

Final score
82.78 of 100Reported as group
Quality
80
Promoting interoperability
84
Improvement activities
40
Cost
75.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN289878GAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology of Colorado, PC Dermatology CurrentSince Feb 1, 2023 Accepting new patients
Leslie R Capin MD PC Dermatology PastSince Sep 1, 2013 Accepting new patients

Locations

13701 E Mississippi Ave
Ste 320
Aurora, CO 80012
Phone (303) 340-3378

1120 E Elizabeth St
Ste 2
Fort Collins, CO 80524

1100 Poudre River Dr
Unit A
Fort Collins, CO 80524
Phone (970) 484-3078

9399 Crown Crest Blvd
Ste 400
Parker, CO 80138
Phone (303) 840-1472

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

Interoperability endpoints

  • Direct secure messaging: paula.stoddard@adcs1.emadirect.md

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1164007118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 N DOUTY ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 N DOUTY ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303912",
            "telephone_number": "559-582-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STODDARD",
        "first_name": "PAULA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN289878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

Verify at the official NPI Registry.