Individual provider Active NPI

Evelyn Keaton, N.P.

  • Acute Care Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1306942529
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
NP15973 Issued in CA
Practice address
1111 Exposition Blvd BLDG 700
Sacramento, CA 95815-4314
Phone
(916) 736-3399
Fax
(916) 233-4171
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 15973 CA
Acute Care Nurse Practitioner 363LA2100X NP15973 CA Primary

Addresses

Primary practice location

1111 Exposition Blvd BLDG 700
Sacramento, CA 95815-4314

Mailing address

1111 Exposition Blvd BLDG 700
Sacramento, CA 95815-4314
Phone (916) 736-3399

Other practice location 1

1561 Creekside Dr Ste 180
Folsom, CA 95630-3495
Phone (916) 984-4883

Other practice location 2

6600 Mercy Ct Ste 180A
Fair Oaks, CA 95628-3198
Phone (916) 966-2700

Other practice location 3

2 Medical Plaza Dr Ste 225
Roseville, CA 95661-3044
Phone (916) 782-1291

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
I20070123000663 CA Practitioner - Nurse Practitioner 9133120827 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1111 Exposition Blvd
Suite 700
Sacramento, CA 95815-4314
Phone (916) 736-3399

Merit-based Incentive Payment System (MIPS)

Final score
74.25 of 100Reported as group
Quality
51.19
Promoting interoperability
94
Improvement activities
40
Cost
61.73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15973CAMDNurse Practitioner
NP15973CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sacramento Ear Nose & Throat Surgical & Medical Group Inc CurrentSince Dec 8, 2014 Accepting new patients
Sutter North Medical Foundation PastSince Dec 8, 2014 Accepting new patients

Locations

6600 Mercy Ct
Ste 180A
Fair Oaks, CA 95628
Phone (916) 966-2700

785 Hana Way
Ste 102
Folsom, CA 95630
Phone (916) 736-6644

1561 Creekside Dr
Ste 180
Folsom, CA 95630
Phone (916) 984-4883

1528 Eureka Rd
Ste 102
Roseville, CA 95661
Phone (916) 736-6644

2 Medical Plaza Dr
Ste 225
Roseville, CA 95661
Phone (916) 782-1291

1111 Exposition Blvd
Ste 700
Sacramento, CA 95815
Phone (916) 736-3399

1111 Exposition Blvd
Bldg 700
Sacramento, CA 95815
Phone (916) 736-3399

Interoperability endpoints

  • Direct secure messaging: ekeaton34313@hisp.ehr.sutterhealth.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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1306942529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 EXPOSITION BLVD BLDG 700",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154314",
            "telephone_number": "916-736-3399",
            "fax_number": "916-233-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 EXPOSITION BLVD BLDG 700",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154314",
            "telephone_number": "916-736-3399",
            "fax_number": "916-233-4171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1561 Creekside Dr Ste 180",
            "address_purpose": "LOCATION",
            "city": "Folsom",
            "state": "CA",
            "postal_code": "956303495",
            "country_code": "US",
            "telephone_number": "916-984-4883",
            "fax_number": "916-984-8834",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6600 Mercy Ct Ste 180A",
            "address_purpose": "LOCATION",
            "city": "Fair Oaks",
            "state": "CA",
            "postal_code": "956283198",
            "country_code": "US",
            "telephone_number": "916-966-2700",
            "fax_number": "169-660-7499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Medical Plaza Dr Ste 225",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956613044",
            "country_code": "US",
            "telephone_number": "916-782-1291",
            "fax_number": "916-782-5992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEATON",
        "first_name": "EVELYN",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "15973",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "NP15973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.