Karen Maciejko, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95027143 Issued in CA

Practice address

411 3Rd St
San Rafael, CA 94901-3548

Phone

(415) 924-4525

NPI assigned

Nov 17, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brett V Curtis MD a Professional Corporation IncGroup PAC ID 6507194297, 7 clinicians

Brett V Curtis MD and Associates a Professional CorporationGroup PAC ID 4284961186, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Brett V. Curtis, MD, a Professional Corporation, Inc.

  • Occupational Medicine Clinic/Center
  • San Rafael, CA
  • NPI 1346372661
  Medicare reassignment Care Compare group NPD
• Brett V. Curtis M.D. & Associates, a Professional Corporation

  • Urgent Care Clinic/Center
  • Novato, CA
  • NPI 1285145383
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1407565427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 3RD ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013548",
            "telephone_number": "415-924-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 3RD ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013548",
            "telephone_number": "415-924-4525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Hospital Dr Ste 303",
            "address_purpose": "LOCATION",
            "city": "Vallejo",
            "state": "CA",
            "postal_code": "945892583",
            "country_code": "US",
            "telephone_number": "707-645-7210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACIEJKO",
        "first_name": "KAREN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-17",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0998178-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95027143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maa Soulcare Dba Interim Health Care
• John Manfred Maas, EDD
• Victoria L Macarthur, M.S.
• Toni Kathleen Macdonald, MFT
• Kristina Marie Macias
• Corrissa Madden-Grubb
• Melina Madrigal
• Madrona Hospice Care Inc
• Aaron Magee
• Elizabeth Magid, MSW

• Family Nurse Practitioner in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.

Verify at the official NPI Registry.