Anna Marie Antonowich, MSN, NP-BC
Individual provider Active NPI Family Nurse Practitioner · Ukiah, CA
NPI 1215063268 · NPPES record last updated Mar 22, 2023
Key facts
- NPI
- 1215063268
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 13718 (CA)
- Practice address
- 260 Hospital Dr Ste 207
Ukiah, CA 95482-4568 - Phone
- (707) 463-7627
- Fax
- (707) 463-7420
- NPI assigned
- Feb 26, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ukiah Adventist Hospital
Practice addresses (Care Compare)
275 Hospital Dr
Ukiah, CA 95482-4531
Phone (707) 462-3111
Hospital & facility affiliations
- Adventist Health Ukiah Valley
- Adventist Health Howard Memorial
- Adventist Health Clearlake
- Adventist Health Mendocino Coast
- Sutter Lakeside Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.98 of 100
- Quality
- 73.31
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 62
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.16 of 100
- Quality
- 82.56
- Promoting interoperability
- 93
- Improvement activities
- 40
- Cost
- 69.49
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.41 of 100
- Quality
- 86.32
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 66.55
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141021002269 | CA | Practitioner - Nurse Practitioner | 6901027663 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13718 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ukiah Adventist Hospital | Current |
Accepting new patients | |
| Adventist Health Mendocino Coast | Current |
Accepting new patients | |
| Ukiah Adventist Hospital | Current |
Accepting new patients | |
| Adventist Health Mendocino Coast | Current |
Accepting new patients |
Locations
700 River Dr
Fort Bragg, CA 95437
Phone (707) 961-1234
260 Hospital Dr
Ste 207
Ukiah, CA 95482
Phone (707) 463-7627
275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/29a5ccea-f4ab-4447-a191-56b20695970f/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 13718 | CA | Yes |
Addresses
Primary practice location
260 Hospital Dr Ste 207
Ukiah, CA 95482-4568
Mailing address
260 Hospital Dr Ste 207
Ukiah, CA 95482-4568
Phone (707) 463-7627
Other practice location 1
700 River Dr
Fort Bragg, CA 95437-5403
Phone (707) 961-4922
Other names
- Ms. Anna Marie Antonowich-Jonsson
Other providers in Ukiah, CA
- Clifford Leon Andrews
- Gary Wyatt Andrus
- Anesthesia Management Services of California Inc
- Catherine Mara Anglen
- Tess Antonetti
- Anna Anttila
- Josefina Anzilotti-Batis
- Apria Healthcare LLC
- Jennifer Aragon
- Amanda Kathleen Archer
All providers in Ukiah, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.