Individual provider Active NPI

Caitlyn Socha

  • Family Nurse Practitioner
  • Beloit, WI
National Provider Identifier
1518689439
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13057-33 Issued in WI
Practice address
74 Eclipse Ctr
Beloit, WI 53511-3550
Phone
(608) 423-6859
NPI assigned
Sep 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 13057-33 WI Primary

Addresses

Primary practice location

74 Eclipse Ctr
Beloit, WI 53511-3550

Mailing address

2656 Sarah LN
Beloit, WI 53511-9559
Phone (608) 481-0170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20230119002319 WI Practitioner - Nurse Practitioner 0143691626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Systems IncGroup PAC ID 3678565116, 12 clinicians

Practice addresses (Care Compare)

74 Eclipse Ctr
Beloit, WI 53511-3550
Phone (608) 361-0311

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Systems, Inc. CurrentSince Nov 1, 2022 Accepting new patients
Community Health Systems, Inc. CurrentSince Nov 1, 2022 Accepting new patients

Locations

74 Eclipse Ctr
Beloit, WI 53511
Phone (608) 361-0311

849 Kellogg Ave
Janesville, WI 53546
Phone (608) 755-7960

Interoperability endpoints

  • Direct secure messaging: csocha339511@direct.ochin.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1518689439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2656 SARAH LN",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535119559",
            "telephone_number": "608-481-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 ECLIPSE CTR",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535113550",
            "telephone_number": "608-423-6859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOCHA",
        "first_name": "CAITLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "13057-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beloit, WI

Sources for this page

Verify at the official NPI Registry.