Individual provider Active NPI

Lois Falk, N.P.

  • Nurse Practitioner
  • Gualala, CA
National Provider Identifier
1346332335
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP2525 Issued in CA
Practice address
46900 Ocean Dr
Gualala, CA 95445-8353
Phone
(707) 884-4005
Fax
(707) 884-9728
NPI assigned
Sep 28, 2006
Last updated
Oct 26, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP2525 CA Primary

Addresses

Primary practice location

46900 Ocean Dr
Gualala, CA 95445-8353

Mailing address

PO Box 1100
Gualala, CA 95445-1100
Phone (707) 884-4005

Other identifiers 1

IdentifierTypeStateIssuer
FHC03906FMedicaidCA

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
I20140716000775 CA Practitioner - Nurse Practitioner 7618192204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP2525CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Redwood Coast Medical Services, Inc. CurrentSince Mar 3, 2014 Accepting new patients
Redwood Coast Medical Services, Inc. CurrentSince Mar 3, 2014 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: lois.falk.p1@direct.rcms-healthcare.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1346332335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1100",
            "city": "GUALALA",
            "state": "CA",
            "postal_code": "954451100",
            "telephone_number": "707-884-4005",
            "fax_number": "707-884-9728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46900 OCEAN DR",
            "city": "GUALALA",
            "state": "CA",
            "postal_code": "954458353",
            "telephone_number": "707-884-4005",
            "fax_number": "707-884-9728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALK",
        "first_name": "LOIS",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP2525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC03906F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gualala, CA

Sources for this page

Verify at the official NPI Registry.