Carissa Giordani Cahill

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95021406 Issued in CA

Practice address

12399 Rainbow Dr
Truckee, CA 96161-2736

Phone

(805) 708-8842

NPI assigned

Jun 22, 2022

Last updated

Jun 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MT

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

Riverside Family ClinicGroup PAC ID 7810989506, 14 clinicians

Wolf Point Clinic Association IncGroup PAC ID 3678546660, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Hospital Hospital, Wolf Point, MT, CCN 271341
• Poplar Community Hospital Hospital, Poplar, MT, CCN 271300

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/ac22fd4c-796d-4bb8-9292-da1e40231549/

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.

• Riverside Family Clinic

  • Rural Health Clinic/Center
  • Poplar, MT
  • NPI 1255351862
  Medicare reassignment Care Compare group NPD
• Wolf Point Clinic Association Inc

  dba Listeruds Rural Health Clinic

  • Rural Health Clinic/Center
  • Wolf Point, MT
  • NPI 1992722904
  Medicare reassignment Care Compare group NPD
• Northeast Montana Health Services Inc

  dba Faith Lutheran Home

  • Critical Access Hospital
  • Wolf Point, MT
  • NPI 1821016536
  Medicare reassignment NPD
• Northeast Montana Health Services, Inc.

  dba Poplar Community CAH

  • Critical Access Hospital
  • Poplar, MT
  • NPI 1396766903
  Medicare reassignment NPD
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northeast Montana Health Services Inc

  dba Faith Lutheran Home

  • Critical Access Hospital
  • Wolf Point, MT
  • NPI 1821016536
  Care Compare affiliation
• Northeast Montana Health Services, Inc.

  dba Poplar Community CAH

  • Critical Access Hospital
  • Poplar, MT
  • NPI 1396766903
  Care Compare affiliation

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1407587223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12399 RAINBOW DR",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961612736",
            "telephone_number": "805-708-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12399 RAINBOW DR",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961612736",
            "telephone_number": "805-708-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAHILL",
        "first_name": "CARISSA",
        "middle_name": "GIORDANI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95021406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Truckee",
            "affiliation": "N",
            "endpointDescription": "Truckee",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12399 Rainbow Dr",
            "city": "Truckee",
            "state": "CA",
            "country_code": "US",
            "postal_code": "961612736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kirsten Brutzman-Livak
• Daniel Gordon Buchanan, PA-C
• Lisanne Ryner Burkholder, MD FACP FRACP
• Laura Jane Burley
• C. Gregory Jellinek, M.D., a Medical Corporation
• Zoe K Cahill, LMP
• California Emergency Physicians Medical Group, a Professional Corp (Vituity)
• Jeffrey Camp, MD
• Jacquelyn Campos-Araujo, BA
• Catherine Elizabeth Capano, CNM, FNP

• Family Nurse Practitioner in Truckee, CA
• Providers in Truckee, 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 Jun 22, 2022; 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.