Active NPI
Rebecca Michel Kauk, FNP
- Family Nurse Practitioner
- Grass Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95006641
- Practice address
- 280 Sierra College Dr Ste 115
Grass Valley, CA 95945-5763 - Phone
- (530) 477-3119
- Fax
- (530) 274-2077
- NPI assigned
- May 30, 2017
- Last updated
- May 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95006641 | CA | Primary |
Addresses
Primary practice location
280 Sierra College Dr Ste 115
Grass Valley, CA 95945-5763
Mailing address
3400 Data Dr
Rancho Cordova, CA 95670-7956
Phone (719) 229-8759
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95063623 | Other | CA | REGISTERED NURSE |
Other names 1
- Rebecca Michel Ismeis
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
280 Sierra College Dr
Suite 115
Grass Valley, CA 95945-5763
Phone (530) 477-3119
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95006641 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| James Sandidge Dunn Jr MD Inc | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients |
Locations
11795 Education St
Ste 222
Auburn, CA 95602
Phone (530) 886-6660
280 Sierra College Dr
Ste 115
Grass Valley, CA 95945
Phone (530) 477-3119
3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mercy Medical Group, a service of Dignity Health Medical Foundation
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1700803418
-
- Obstetrics & Gynecology Physician
- Auburn, CA
- NPI 1124046560
-
dba Dignity Health Medical Group - Sierra Nevada, a service of Dignity Hea
- Multi-Specialty Clinic/Center
- Grass Valley, CA
- NPI 1043456106
-
dba Dignity Health Medical Group - North State, a service of Dignity Healt
- Multi-Specialty Clinic/Center
- Redding, CA
- NPI 1912288432
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sierra Nevada Memorial Hospital
- General Acute Care Hospital
- Grass Valley, CA
- NPI 1659361392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653436800000",
"number": "1295263648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 DATA DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956707956",
"telephone_number": "719-229-8759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 SIERRA COLLEGE DR STE 115",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959455763",
"telephone_number": "530-477-3119",
"fax_number": "530-274-2077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUK",
"first_name": "REBECCA",
"middle_name": "MICHEL",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-30",
"last_updated": "2022-05-25",
"certification_date": "2022-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95006641",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE",
"identifier": "95063623",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "ISMEIS",
"middle_name": "MICHEL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.