Active NPI
Gina M Valente-Moore, FNP
- Family Nurse Practitioner
- Jamestown, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9909
- Practice address
- 18144 Seco St
Jamestown, CA 95327-9737 - Phone
- (209) 984-4820
- Fax
- (209) 984-4825
- NPI assigned
- Oct 12, 2007
- 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 | 9909 | CA | Primary |
Addresses
Primary practice location
18144 Seco St
Jamestown, CA 95327-9737
Mailing address
PO Box 2493
Murphys, CA 95247-2493
Phone (209) 743-9234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00688230 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090224000320 | CA | Practitioner - Nurse Practitioner | 2163587288 | Reassigns benefits to 2 organizations |
| I20120321000846 | TX | Practitioner - Nurse Practitioner | 2163587288 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mathiesen Memorial Health ClinicSonora Community Hospital
Practice addresses (Care Compare)
18144 Seco St
Jamestown, CA 95327-9498
Phone (209) 984-4820
680 Guzzi LN
Suite 206
Sonora, CA 95370-5288
Phone (209) 536-5760
Hospital & facility affiliations
- Atta Home Healthcare
- Careone Home Health and Hospice, Inc
- Adventist Health Home Care Services
- Adventist Health Sonora
- Mark Twain Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.78 of 100
- Quality
- 81.74
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 67.27
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tuolumne Mewuk Indian Health Center, Inc | Family | Current | Accepting new patients |
| Sonora Community Hospital | Current | Accepting new patients | |
| Sonora Community Hospital | Current | Accepting new patients | |
| Mathiesen Memorial Health Clinic | Current | Accepting new patients | |
| Tuolumne Me-Wuk Indian Health Center, Inc. | Current | Accepting new patients | |
| Sonora Community Hospital | Current | Accepting new patients | |
| Mathiesen Memorial Health Center | Past | Accepting new patients | |
| Sonora Community Hospital | Past | Accepting new patients |
Locations
680 Guzzi Ln
Ste 105
Sonora, CA 95370
Phone (209) 532-0126
19747 Greenley Rd
Ste S2
Sonora, CA 95370
Phone (209) 536-2665
680 Guzzi Ln
Ste 201
Sonora, CA 95370
Phone (209) 536-1785
680 Guzzi Ln
Ste 206
Sonora, CA 95370
Phone (209) 536-5760
193 Fairview Ln
Ste C
Sonora, CA 95370
Phone (209) 532-3124
18880 Cherry Valley Blvd
Tuolumne, CA 95379
Phone (209) 928-5400
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- gina.valentemoore.p1@direct.mathiesenmemorialhc.nextgenshare.com
Organizations & group practices 15
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.
-
- Federally Qualified Health Center (FQHC)
- Jamestown, CA
- NPI 1255595484
TX
-
- Family Medicine Physician
- Tuolumne, CA
- NPI 1619952397
CA, Family
-
- Community/Retail Pharmacy
- Sonora, CA
- NPI 1740582568
-
- General Acute Care Hospital
- Sonora, CA
- NPI 1780673376
-
- Rural Health Clinic/Center
- Sonora, CA
- NPI 1003014952
-
- Family Medicine Physician
- Sonora, CA
- NPI 1033100854
-
- Family Medicine Physician
- Arnold, CA
- NPI 1467443382
-
- Community/Retail Pharmacy
- Sonora, CA
- NPI 1609836634
-
- Skilled Nursing Facility
- Sonora, CA
- NPI 1801887401
-
- Family Medicine Physician
- Angels Camp, CA
- NPI 1821089749
-
- Medicare Defined Swing Bed Hospital Unit
- Sonora, CA
- NPI 1992796593
Hospital & facility affiliations 16
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Modesto, CA
- NPI 1861012916
-
- Home Health Agency
- Salida, CA
- NPI 1972809838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616630400000",
"number": "1336337484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2493",
"city": "MURPHYS",
"state": "CA",
"postal_code": "952472493",
"telephone_number": "209-743-9234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18144 SECO ST",
"city": "JAMESTOWN",
"state": "CA",
"postal_code": "953279737",
"telephone_number": "209-984-4820",
"fax_number": "209-984-4825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENTE-MOORE",
"first_name": "GINA",
"middle_name": "M",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-12",
"last_updated": "2021-03-25",
"certification_date": "2021-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "9909",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P00688230",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jamestown, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.