Individual provider Active NPI

James David Carroll, FNP-C

  • Family Nurse Practitioner
  • Turlock, CA
National Provider Identifier
1417618729
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95020376 Issued in CA
Practice address
1739 Colorado Ave
Turlock, CA 95382-2714
Phone
(209) 448-3000
NPI assigned
Jan 7, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95068351 CA
Family Nurse Practitioner 363LF0000X 95020376 CA Primary

Addresses

Primary practice location

1739 Colorado Ave
Turlock, CA 95382-2714

Mailing address

1739 Colorado Ave
Turlock, CA 95382-2714

Other practice location 1

4303 Pimentel Dr
Denair, CA 95316-8577
Phone (209) 648-4871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220615000984 CA Practitioner - Nurse Practitioner 9436538840 Reassigns benefits to 1 organization
I20250602002754 CO Practitioner - Nurse Practitioner 9436538840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Center for Pain and Wellness, PLLCGroup PAC ID 6709305261, 11 clinicians

Practice addresses (Care Compare)

2430 Research Pkwy
Suite 205
Colorado Springs, CO 80920-1093
Phone (719) 445-6242

Hospital & facility affiliations

  • Sutter Amador Hospital Hospital, Jackson, CA, CCN 050014

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
81.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95020376CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norcal Pain Treatment Center Corp CurrentSince Mar 22, 2022 Accepting new patients
New Mexico Center for Pain and Wellness, LLC CurrentSince Sep 3, 2025 Accepting new patients
Norcal Pain Treatment Center Corp. CurrentSince Mar 22, 2022 Accepting new patients
Colorado Center for Pain and Wellness, PLLC CurrentSince Apr 9, 2025 Accepting new patients

Locations

1117 W Tokay St
Ste A
Lodi, CA 95240
Phone (209) 333-2551

123 W North Bear Creek Dr
Merced, CA 95348
Phone (209) 448-3000

1755 Telstar Dr
Fl 3
Colorado Springs, CO 80920
Phone (505) 322-6687

1755 Telstar Dr
#3
Colorado Springs, CO 80920

2430 Research Pkwy
Ste 205
Colorado Springs, CO 80920
Phone (505) 322-6687

6330 Riverside Plaza Ln NW
Ste 100
Albuquerque, NM 87120
Phone (505) 322-6687

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1417618729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 COLORADO AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 COLORADO AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822714",
            "telephone_number": "209-448-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4303 Pimentel Dr",
            "address_purpose": "LOCATION",
            "city": "Denair",
            "state": "CA",
            "postal_code": "953168577",
            "country_code": "US",
            "telephone_number": "209-648-4871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "JAMES",
        "middle_name": "DAVID",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-07",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95068351",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95020376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

Verify at the official NPI Registry.