Individual provider Active NPI

Mary Catherine Papsco, FNP

  • Family Medicine Physician
  • Santa Rosa, CA
National Provider Identifier
1588850796
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16908 Issued in CA
Practice address
983 Sonoma Ave
Santa Rosa, CA 95404
Phone
(707) 583-8700
NPI assigned
Sep 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 16908 CA Primary

Addresses

Primary practice location

983 Sonoma Ave
Santa Rosa, CA 95404

Mailing address

983 Sonoma Ave
Santa Rosa, CA 95404-4818
Phone (707) 583-8700

Other practice location 1

3333 Chanate Rd
Santa Rosa, CA 95404-1707
Phone (707) 583-3700

Other practice location 2

2235 Challenger Way Ste 109
Santa Rosa, CA 95407-5421
Phone (707) 303-3600

Other identifiers 1

IdentifierTypeStateIssuer
16908OtherCAFNP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
296200CAMDPhysical Therapist
16908CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Rosa Community Health Centers PastSince Dec 13, 2022 Accepting new patients
Santa Rosa Community Health Centers 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": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1588850796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "983 SONOMA AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044818",
            "telephone_number": "707-583-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "983 SONOMA AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95404",
            "telephone_number": "707-583-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Chanate Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954041707",
            "country_code": "US",
            "telephone_number": "707-583-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2235 Challenger Way Ste 109",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954075421",
            "country_code": "US",
            "telephone_number": "707-303-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAPSCO",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "16908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP #",
            "identifier": "16908",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.