Kristen Macrae, N.P.

Key facts

NPI

1184007015

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

95002567 (CA)

Practice address

305 Preston Ave
Ione, CA 95640-9158

Phone

(209) 274-2183

NPI assigned

Jul 9, 2015

Sex

Female

Sole proprietor

No

Organizations & group practices 9

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.

• Permanente Medical Group Inc Internal Medicine Physician · Santa Clara, CA · NPI 1073606299
  Medicare reassignment Care Compare group NPD CA
• Clinic Services of California Medical Group Inc Emergency Medicine Physician · Lodi, CA · NPI 1578958450
  Medicare reassignment NPD CA
• Lodi Memorial Hospital Association, Inc Primary Care Clinic/Center · Lodi, CA · NPI 1861649352
  Medicare reassignment NPD CA
• Team Physicians of California Medical Group Inc Emergency Medicine Physician · Delano, CA · NPI 1447288345
  Medicare reassignment NPD CA
• Permanente Medical Group, Inc. Clinical Medical Laboratory · Berkeley, CA · NPI 1083777163
  Care Compare group
• Lodi Memorial Hospital Association Inc General Acute Care Hospital · Lodi, CA · NPI 1316938301
  NPD
• Lodi Memorial Hospital Association Inc Clinic/Center · Ione, CA · NPI 1750391710
  NPD
• Permanente Medical Group Inc Internal Medicine Physician · Stockton, CA · NPI 1548343510
  NPD
• Permanente Medical Group, Inc Clinical Medical Laboratory · San Jose, CA · NPI 1497971584
  NPD

Hospital & facility affiliations 1

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

• Kaiser Foundation Hospitals General Acute Care Hospital · Sacramento, CA · NPI 1528138088
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Permanente Medical Group Inc (10,928 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kaiser Foundation Hosp So Sacramento Hospital · Sacramento, CA · CCN 050674

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

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

Practice roles

Locations

Specialties & licenses

Addresses

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 19, 2022.

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1184007015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 PRESTON AVE",
            "city": "IONE",
            "state": "CA",
            "postal_code": "956409158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 PRESTON AVE",
            "city": "IONE",
            "state": "CA",
            "postal_code": "956409158",
            "telephone_number": "209-274-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACRAE",
        "first_name": "KRISTEN",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-09",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95002567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "6600 Bruceville Rd",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958234671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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All providers in Ione, CA · Family Nurse Practitioner in California