Individual provider Active NPI

Elizabeth Funke Gall, R.N., F.N.P.-C.

  • Family Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1487636932
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11294 Issued in CA
Practice address
2360 Stockton Blvd
Hemophilia Treatment Center
Sacramento, CA 95817-2209
Phone
(916) 734-7624
Fax
(916) 734-3951
NPI assigned
Nov 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 413322 CA
Family Nurse Practitioner 363LF0000X 11294 CA Primary

Addresses

Primary practice location

2360 Stockton Blvd
Hemophilia Treatment Center
Sacramento, CA 95817-2209

Mailing address

2315 Stockton Blvd
Room 1P517 Cardiology
Sacramento, CA 95817-2201
Phone (916) 703-6421

Other names 1

  • Ms. Elizabeth Ann Funke Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
413322CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Garcia, Lee & Concepcion Medical Group Past Accepting new patients
Garcia Lee and Concepcion Medical Group Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475193600000",
    "number": "1487636932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 STOCKTON BLVD",
            "address_2": "ROOM 1P517 CARDIOLOGY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172201",
            "telephone_number": "916-703-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 STOCKTON BLVD",
            "address_2": "HEMOPHILIA TREATMENT CENTER",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172209",
            "telephone_number": "916-734-7624",
            "fax_number": "916-734-3951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALL",
        "first_name": "ELIZABETH",
        "middle_name": "FUNKE",
        "name_prefix": "Ms.",
        "credential": "R.N., F.N.P.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2016-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "413322",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "11294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "FUNKE",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "R.N., F.N.P.-C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.