Active NPI
Mary Ellen Wilkosz, FNP
- Family Nurse Practitioner
- Novato, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- N378008
- Practice address
- 165 Rowland Way #105
Novato, CA 94945 - Phone
- (415) 897-2776
- NPI assigned
- May 9, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | N378008 | CA | Primary |
Addresses
Primary practice location
165 Rowland Way #105
Novato, CA 94945
Mailing address
469 Estado Way
Novato, CA 94945-1327
Phone (415) 892-2244
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1992
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000
Hospital & facility affiliations
- Novato Community Hospital
- Marinhealth Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.03 of 100
- Quality
- 80.86
- Promoting interoperability
- 76
- Improvement activities
- 40
- Cost
- 75.91
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N378008 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents Univ of California UCSF | Current | Accepting new patients |
Locations
165 Rowland Way
Ste 215
Novato, CA 94945
Phone (415) 897-5171
75 Rowland Way
Ste 200
Novato, CA 94945
Phone (415) 897-3174
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664
4000 Civic Center Dr
Ste 205
San Rafael, CA 94903
Phone (415) 479-7244
Interoperability endpoints
- mwilkosz240396@hisp.ehr.sutterhealth.org
- mwilkosz106604@direct-ucsfmedicalcenter.org
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1124439807
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenbrae, CA
- NPI 1396725677
-
- General Acute Care Hospital
- Novato, CA
- NPI 1104059153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279670400000",
"number": "1457565814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "469 ESTADO WAY",
"city": "NOVATO",
"state": "CA",
"postal_code": "949451327",
"telephone_number": "415-892-2244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 ROWLAND WAY #105",
"city": "NOVATO",
"state": "CA",
"postal_code": "94945",
"telephone_number": "415-897-2776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKOSZ",
"first_name": "MARY ELLEN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2010-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "N378008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Novato, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.