Individual provider Active NPI

Stephanie Strickland, FNP-BC/C, RN, MSN

  • Family Nurse Practitioner
  • Willits, CA
National Provider Identifier
1558040220
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95025873 Issued in CA
Practice address
3 Marcela Dr Ste C
Willits, CA 95490-5769
Phone
(707) 459-6115
NPI assigned
Jul 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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 95025873 CA Primary

Addresses

Primary practice location

3 Marcela Dr Ste C
Willits, CA 95490-5769

Mailing address

3 Marcela Dr Ste C
Willits, CA 95490-5769
Phone (707) 459-6115

Other names 1

  • Stephanie Pogrund Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230901002746 CA Practitioner - Nurse Practitioner 4789047002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Willits Hospital IncGroup PAC ID 7416940697, 67 clinicians

Practice addresses (Care Compare)

1 Marcela Dr
Willits, CA 95490-5769
Phone (707) 459-6801

3 Marcela Dr
Suite D
Willits, CA 95490-5769
Phone (707) 459-4220

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.41 of 100Reported as group
Quality
86.32
Promoting interoperability
95
Improvement activities
40
Cost
66.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95025873CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Willits Hospital Inc. CurrentSince Aug 6, 2023 Accepting new patients
Ukiah Adventist Hospital CurrentSince Aug 6, 2023 Accepting new patients

Locations

1 Marcela Dr
Willits, CA 95490
Phone (707) 456-3001

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.

Hospital & facility affiliations 5

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": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1558040220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MARCELA DR STE C",
            "city": "WILLITS",
            "state": "CA",
            "postal_code": "954905769",
            "telephone_number": "707-459-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MARCELA DR STE C",
            "city": "WILLITS",
            "state": "CA",
            "postal_code": "954905769",
            "telephone_number": "707-459-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRICKLAND",
        "first_name": "STEPHANIE",
        "credential": "FNP-BC/C, RN, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95025873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "POGRUND",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Willits, CA

Sources for this page

Verify at the official NPI Registry.