Individual provider Active NPI

Christine Marie Kulle, MSN, RN, NP-C, CNM

  • Nurse Practitioner
  • Campbell, CA
National Provider Identifier
1306154976
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
20185 Issued in CA
Practice address
476 E Campbell Ave
Campbell, CA 95008-2142
Phone
(408) 871-5040
Fax
(408) 871-5049
NPI assigned
Sep 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 1200 CA
Nurse Practitioner 363L00000X 20185 CA Primary

Addresses

Primary practice location

476 E Campbell Ave
Campbell, CA 95008-2142

Mailing address

476 E Campbell Ave
Campbell, CA 95008-2142
Phone (408) 871-5040

Other practice location 1

33523 Western Ave
Union City, CA 94587-3203
Phone (510) 487-4357

Other practice location 2

12 N White Rd Ste 1
San Jose, CA 95127-1963
Phone (408) 272-5577

Other practice location 3

1671 The Alameda Ste 101
San Jose, CA 95126-2222
Phone (408) 978-9310

Other practice location 4

298 San Antonio Rd Ste 100
Mountain View, CA 94040-5309
Phone (650) 559-1550

Other names 1

  • Mrs. Christine Marie Kulle-Merlesena Former name

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
I20110418000573 CA Practitioner - Nurse Practitioner 4688858525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
UCSF Health Medical FoundationGroup PAC ID 9638403819, 40 clinicians

Practice addresses (Care Compare)

570 Price Ave
Suite 100
Redwood City, CA 94063-1433
Phone (650) 701-1882

Hospital & facility affiliations

  • Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380

Merit-based Incentive Payment System (MIPS)

Final score
82.4 of 100Reported as group
Quality
89.11
Promoting interoperability
71
Improvement activities
40
Cost
76.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
20185CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Health Medical Foundation CurrentSince Feb 15, 2022 Accepting new patients
El Camino Health Medical Group Past Accepting new patients
Realoptions Nurse Practitioner Past Accepting new patients

Locations

570 Price Ave
Ste 100
Redwood City, CA 94063
Phone (650) 327-1258

Interoperability endpoints

  • Direct secure messaging: christine.kulle.1@18367.direct.athenahealth.com
  • Direct secure messaging: ckulle217128@direct-ucsfmedicalcenter.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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1306154976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 E CAMPBELL AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082142",
            "telephone_number": "408-871-5040",
            "fax_number": "408-871-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 E CAMPBELL AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082142",
            "telephone_number": "408-871-5040",
            "fax_number": "408-871-5049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33523 Western Ave",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "CA",
            "postal_code": "945873203",
            "country_code": "US",
            "telephone_number": "510-487-4357",
            "fax_number": "510-487-9039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 N White Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951271963",
            "country_code": "US",
            "telephone_number": "408-272-5577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1671 The Alameda Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951262222",
            "country_code": "US",
            "telephone_number": "408-978-9310",
            "fax_number": "408-229-9653",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "298 San Antonio Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mountain View",
            "state": "CA",
            "postal_code": "940405309",
            "country_code": "US",
            "telephone_number": "650-559-1550",
            "fax_number": "650-941-1009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KULLE",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSN, RN, NP-C, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-17",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "1200",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "20185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "KULLE-MERLESENA",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "MSN, RN, NP-C, CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Campbell, CA

Sources for this page

Verify at the official NPI Registry.