Individual provider Active NPI

Christopher Ayeko, FNP

  • Family Nurse Practitioner
  • Ukiah, CA
National Provider Identifier
1174911994
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
836088 Issued in CA
Practice address
333 Laws Ave
Ukiah, CA 95482-6540
Phone
(707) 472-4511
NPI assigned
Dec 31, 2014
Last updated
Dec 31, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 836088 CA Primary

Addresses

Primary practice location

333 Laws Ave
Ukiah, CA 95482-6540

Mailing address

333 Laws Ave
Ukiah, CA 95482-6540
Phone (707) 472-4511

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
I20150403000883 CA Practitioner - Nurse Practitioner 2062730963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1165 S Dora St
Ukiah, CA 95482-6353
Phone (707) 468-1010

333 Laws Ave
Ukiah, CA 95482-6540
Phone (458) 292-2167

5335 Lakeshore Blvd
Lakeport, CA 95453-6123
Phone (707) 263-7725

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
73.31
Promoting interoperability
92
Improvement activities
40
Cost
62

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mendocino Community Health Clinic, Inc. CurrentSince Mar 2, 2015 Accepting new patients
Mendocino Community Health Clinic, Inc. CurrentSince Mar 2, 2015 Accepting new patients
Mendocino Community Health Clinic, Inc. Past Accepting new patients

Locations

1165 S Dora St
Ste A1
Ukiah, CA 95482
Phone (707) 468-1010

333 Laws Ave
Ukiah, CA 95482
Phone (707) 468-1010

Interoperability endpoints

  • Direct secure messaging: cayeko335467@direct.ochin.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1419984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419984000000",
    "number": "1174911994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 LAWS AVE",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954826540",
            "telephone_number": "707-472-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 LAWS AVE",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954826540",
            "telephone_number": "707-472-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYEKO",
        "first_name": "CHRISTOPHER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-31",
        "last_updated": "2014-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "836088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ukiah, CA

Sources for this page

Verify at the official NPI Registry.