Rebecca Ann Carroll, NP
Individual provider Active NPI Acute Care Nurse Practitioner · Weed, CA
NPI 1639593155 · NPPES record last updated Feb 5, 2014
Key facts
- NPI
- 1639593155
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 95000182 (CA)
- Practice address
- 17315 Squirrel CT.
Weed, CA 96094 - Phone
- (409) 795-0799
- NPI assigned
- Feb 5, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of California, San Francisco School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orohealth Corporation a Non Profit Healthcare System
Practice addresses (Care Compare)
2767 Olice Hwy
Oroville, CA 95966-6118
2767 Olive Hwy
Oroville, CA 95966-6118
Hospital & facility affiliations
- Oroville Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.23 of 100
- Quality
- 36.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.06
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150831002701 | CA | Practitioner - Nurse Practitioner | 3173839586 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95000182 | CA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orohealth Corporation a Non Profit Healthcare System | Current |
Accepting new patients |
Locations
2767 Olive Hwy
#260
Oroville, CA 95966
Phone (530) 532-8544
2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 95000182 | CA | Yes |
Addresses
Primary practice location
17315 Squirrel CT.
Weed, CA 96094
Mailing address
17315 Squirrel CT.
Weed, CA 96094
Phone (409) 795-0799
Other providers in Weed, CA
- Back of the Mountain Healthcare
- Blessed Transorts 7
- Butteville Union Elementary
- Darcy Carter
- Country Drug Inc
- Toniann Crippen
- Holly Dellaganna
- Depaoli Chiropractic Services, Inc.
All providers in Weed, CA · Acute Care Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.