Individual provider Active NPI

Kenneth Eric Zelsdorf, NP

  • Acute Care Nurse Practitioner
  • Hanford, CA
National Provider Identifier
1215005830
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
NP 16481 Issued in CA
Practice address
1560 W Lacey Blvd
Suite 101
Hanford, CA 93230-3581
Phone
(559) 772-8285
Fax
(559) 772-8312
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X NP 16481 CA Primary

Addresses

Primary practice location

1560 W Lacey Blvd
Suite 101
Hanford, CA 93230-3581

Mailing address

2135 Beechwood CT
Hanford, CA 93230-1557
Phone (559) 309-3875

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
I20070507000239 CA Practitioner - Nurse Practitioner 3971609041 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1560 W Lacey Blvd
Suite 101
Hanford, CA 93230-3588
Phone (559) 772-8285

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16481CAMDCritical Care Certified Respiratory Therapist
NP 16481CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Contemporary Family Practice Inc CurrentSince Dec 1, 2015 Accepting new patients
Cep America-California CurrentSince Jan 1, 2007 Accepting new patients
Cep America - California Current Accepting new patients
Cep America - California CurrentSince Jan 1, 2007 Accepting new patients

Locations

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1025 N Douty St
Hanford, CA 93230
Phone (559) 537-0170

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

818 N Douty St
Hanford, CA 93230
Phone (559) 584-6110

1560 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 573-8523

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

Organizations & group practices 4

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.

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1215005830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 BEECHWOOD CT",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932301557",
            "telephone_number": "559-309-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 W LACEY BLVD",
            "address_2": "SUITE 101",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303581",
            "telephone_number": "559-772-8285",
            "fax_number": "559-772-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELSDORF",
        "first_name": "KENNETH",
        "middle_name": "ERIC",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "NP 16481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

Verify at the official NPI Registry.