NPIMap

Individual provider Active NPI

Elizabeth Joan Whipkey-Olson, D.O.

  • Family Medicine Physician
  • Willits, CA
National Provider Identifier
1306870605
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A 9232 Issued in CA
Practice address
1245 S Main St
Willits, CA 95490-4305
Phone
(707) 459-6861
Fax
(707) 459-3057
NPI assigned
Jul 10, 2006
Last updated
Feb 2, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A 9232 CA Primary

Addresses

Primary practice location

1245 S Main St
Willits, CA 95490-4305

Mailing address

1245 S Main St
Willits, CA 95490-4305
Phone (707) 459-6861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060823000490 CA Practitioner - Family Practice 4981607470 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ukiah Adventist HospitalGroup PAC ID 6406816123, shared by 5 NPIs, 136 clinicians

Practice addresses (Care Compare)

1245 S Main St
Willits, CA 95490-4305
Phone (707) 459-6861

260 Hospital Dr
Ukiah, CA 95482-4568

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
73.31
Promoting interoperability
92
Improvement activities
40
Cost
62

Merit-based Incentive Payment System (MIPS)

Final score
89.41 of 100Reported as group
Quality
86.32
Promoting interoperability
95
Improvement activities
40
Cost
66.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A 9232CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Current Accepting new patients
County of Stanislaus CurrentSince Sep 1, 2006 Accepting new patients
Adventist Health Physicians Network CurrentSince Oct 1, 2021 Accepting new patients
Adventist Health Physicians Network CurrentSince Oct 1, 2021 Accepting new patients
John R Glyer D Mills Matheson & Margaret Arner MDS PTR CurrentSince Feb 19, 2011 Accepting new patients
County of Stanislaus Current Accepting new patients
County of Stanislaus CurrentSince Sep 1, 2006 Accepting new patients
Ukiah Adventist Hospital Past Accepting new patients
Scenic Faculty Medical Group, Inc. Family Medicine PastSince Jul 23, 2023 Accepting new patients

Locations

15322 Lakeshore Dr
Ste 102
Clearlake, CA 95422
Phone (707) 994-2030

1524 McHenry Ave
Ste 330
Modesto, CA 95350
Phone (209) 558-7085

260 Hospital Dr
Ste 103
Ukiah, CA 95482
Phone (707) 463-7490

1245 S Main St
Willits, CA 95490
Phone (707) 459-6861

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Baechtel Creek Medical ClinicWillits, CA, CCN 053968 Rural health clinic 5% Or Greater Direct Ownership Interest (25%)
General Partnership Interest (25%)		 Jan 1, 2012
Jan 1, 2012

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296604800000",
    "number": "1306870605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 S MAIN ST",
            "city": "WILLITS",
            "state": "CA",
            "postal_code": "954904305",
            "telephone_number": "707-459-6861",
            "fax_number": "707-459-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 S MAIN ST",
            "city": "WILLITS",
            "state": "CA",
            "postal_code": "954904305",
            "telephone_number": "707-459-6861",
            "fax_number": "707-459-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHIPKEY-OLSON",
        "first_name": "ELIZABETH",
        "middle_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2011-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A 9232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willits, CA

Sources for this page

Verify at the official NPI Registry.