Individual provider Active NPI

Carrie A Kaufmann, CPNP

  • Pediatric Nurse Practitioner
  • San Jose, CA
National Provider Identifier
1164513321
Registry record updated Aug 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
NP7787 Issued in CA
Practice address
4050 Moorpark Avenue
San Jose, CA 95117-1840
Phone
(408) 243-2700
Fax
(408) 553-0750
NPI assigned
Sep 27, 2006
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
Allergy & Immunology Physician 207K00000X 351140 CA
Pediatric Nurse Practitioner 363LP0200X NP7787 CA Primary

Addresses

Primary practice location

4050 Moorpark Avenue
San Jose, CA 95117-1840

Mailing address

4050 Moorpark Avenue
San Jose, CA 95117-1840
Phone (408) 243-2700

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070718000412 CA Practitioner - Nurse Practitioner 6507967726 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
UCSF Health Medical FoundationGroup PAC ID 9638403819, 40 clinicians

Practice addresses (Care Compare)

570 Price Ave
Suite 100
Redwood City, CA 94063-1433
Phone (650) 701-1882

Merit-based Incentive Payment System (MIPS)

Final score
82.4 of 100Reported as group
Quality
89.11
Promoting interoperability
71
Improvement activities
40
Cost
76.38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7787CAMDHearing Instrument Specialist
NP7787CAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Health Medical Foundation CurrentSince Jun 1, 2021 Accepting new patients

Locations

570 Price Ave
Ste 100
Redwood City, CA 94063
Phone (650) 327-1258

Interoperability endpoints

  • Direct secure messaging: ckaufmann180205@direct-ucsfmedicalcenter.org

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691280000000",
    "number": "1164513321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 MOORPARK AVENUE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171840",
            "telephone_number": "408-243-2700",
            "fax_number": "408-553-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 MOORPARK AVENUE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171840",
            "telephone_number": "408-243-2700",
            "fax_number": "408-553-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMANN",
        "first_name": "CARRIE",
        "middle_name": "A",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2023-08-06",
        "certification_date": "2023-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "351140",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "NP7787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.