Active NPI
Cary Lynn Smeltzer, D.O.
- Family Medicine Physician
- Boonville, CA
National Provider Identifier
1427366426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A12450
- Practice address
- 13500 Airport Rd
Boonville, CA 95415-9133 - Phone
- (707) 895-3477
- Fax
- (707) 895-2035
- NPI assigned
- Sep 24, 2010
- Last updated
- Apr 8, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 005614 | AZ | |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Family Medicine Physician | 207Q00000X | 20A12450 | CA | Primary |
Addresses
Primary practice location
13500 Airport Rd
Boonville, CA 95415-9133
Mailing address
13500 Airport Rd
Boonville, CA 95415-9133
Phone (707) 895-3477
Other names 1
- Miss Cary Lynn Wheeler
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13500 Airport Rd
Boonville, CA 95415-9133
Phone (707) 895-3477
643 S Main St
Suite B
Ukiah, CA 95482-4987
Phone (707) 380-5080
PO Box
Suite 338
Boonville, CA 95415-0338
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.9 of 100
- Quality
- 81.89
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12450 | CA | MD | Occupational Therapist |
| 005614 | AZ | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mendocino Care Network | Current | Accepting new patients | |
| Anderson Valley Ambulance Service | Past | Accepting new patients |
Locations
643 S Main St
Ste B
Ukiah, CA 95482
Phone (707) 380-5080
Interoperability endpoints
- cary.smeltzer.1@20518.direct.athenahealth.com
- https://api.platform.athenahealth.com/20518/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
dba Madrone Care Network
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Ukiah, CA
- NPI 1083255095
-
- Federally Qualified Health Center (FQHC)
- Boonville, CA
- NPI 1568449304
-
- Ambulance
- Boonville, CA
- NPI 1326194317
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mendocino Coast District Hospital
- Critical Access Hospital
- Fort Bragg, CA
- NPI 1538113725
-
dba Adventist Health Ukiah Valley
- General Acute Care Hospital
- Ukiah, CA
- NPI 1235120676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712534400000",
"number": "1427366426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13500 AIRPORT RD",
"city": "BOONVILLE",
"state": "CA",
"postal_code": "954159133",
"telephone_number": "707-895-3477",
"fax_number": "707-895-2035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13500 AIRPORT RD",
"city": "BOONVILLE",
"state": "CA",
"postal_code": "954159133",
"telephone_number": "707-895-3477",
"fax_number": "707-895-2035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMELTZER",
"first_name": "CARY",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-24",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "AZ",
"license": "005614",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A12450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARY",
"last_name": "WHEELER",
"middle_name": "LYNN",
"prefix": "MISS",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Boonville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.