William L Carpenter

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95004994 Issued in CA

Practice address

875 Arlington Ave
Berkeley, CA 94707

Phone

(510) 847-6670

NPI assigned

Aug 31, 2016

Last updated

Dec 24, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sierra ER Department Physicians Medical Group IncGroup PAC ID 5092093351, 6 clinicians

Trinity Emergency PhysiciansGroup PAC ID 4284171166, 47 clinicians

Team Physicians of California Medical Group IncGroup PAC ID 8224945084, 92 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner Lassen Medical Center Hospital, Susanville, CA, CCN 051320
• Dameron Hospital Hospital, Stockton, CA, CCN 050122

Merit-based Incentive Payment System (MIPS)

Final score

83.15 of 100Reported as group

Quality

64.8

Promoting interoperability

100

Improvement activities

40

Cost

68.65

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JDABCA
• Direct secure messaging: wcarpenter46894@alamedahs.direct-ci.com

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.

• Sierra ER Department Physicians Medical Group Inc.

  • Emergency Medicine Physician
  • Susanville, CA
  • NPI 1033570247
  Medicare reassignment Care Compare group NPD
• Team Physicians of California Medical Group Inc

  • Emergency Medicine Physician
  • Delano, CA
  • NPI 1447288345
  Medicare reassignment Care Compare group NPD
• Trinity Emergency Physicians

  • Emergency Medicine Physician
  • Redding, CA
  • NPI 1508605635
  Medicare reassignment Care Compare group NPD
• Brett V. Curtis, MD, a Professional Corporation, Inc.

  dba Medical Center of Marin

  • Occupational Medicine Clinic/Center
  • San Rafael, CA
  • NPI 1346372661
  Medicare reassignment NPD
• Clinic Services of California Medical Group Inc

  • Emergency Medicine Physician
  • Lodi, CA
  • NPI 1578958450
  Medicare reassignment NPD
• Manshadi Heart Institute Inc

  • Interventional Cardiology Physician
  • Stockton, CA
  • NPI 1225380603
  Medicare reassignment NPD
• Regents of the Univ of Ca

  • Maternal & Fetal Medicine Physician
  • Sacramento, CA
  • NPI 1013906973
  Medicare reassignment NPD
• Regents of the Univ of Ca

  • Diagnostic Radiology Physician
  • Sacramento, CA
  • NPI 1477546406
  NPD
• Regents of the University of Ca

  • Emergency Medicine Physician
  • Sacramento, CA
  • NPI 1063405074
  NPD
• Larry Simpfenderfer OD Inc

  dba Advanced Optometry

  • Optometrist
  • Lodi, CA
  • NPI 1194031427
  NPD (past)
• Regents of the Univ of Ca

  • Pulmonary Disease Physician
  • Sacramento, CA
  • NPI 1437142692
  NPD (past)

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

• Banner Lassen Medical Center

  • Critical Access Hospital
  • Susanville, CA
  • NPI 1538197231
  Care Compare affiliation
• Dameron Hospital Association

  • General Acute Care Hospital
  • Stockton, CA
  • NPI 1538163886
  Care Compare affiliation
• Dameron Hospital Association

  • Primary Care Clinic/Center
  • Stockton, CA
  • NPI 1699195115

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577145600000",
    "number": "1457807208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 ARLINGTON AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "94707",
            "telephone_number": "510-847-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 ARLINGTON AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "94707",
            "telephone_number": "510-847-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "WILLIAM",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-31",
        "last_updated": "2019-12-24",
        "certification_date": "2019-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004994",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "CA",
            "license": "728571",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Caro-Bruce, MD
• Carolyn B Klebanoff MD Julie a Omelveny MD a Professional Corp.
• Karen Carothers, MD
• Julia Carpenter, LAC
• Shannan Carpenter
• Anthony Peter Carpentieri, MFT
• Dana Carr, PSYD
• Kaiulani Rosemary Jane Carreiro, MEDICAL ASSISTANT
• Carrie Katz, Licensed Marriage and Family Therapist, Inc.
• Ricardo Carrillo, PHD

• Family Nurse Practitioner in Berkeley, CA
• Providers in Berkeley, 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 Dec 24, 2019; 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.