Individual provider Active NPI

Chelsea Sarah Vaughn, RN

  • Registered Nurse
  • San Carlos, CA
National Provider Identifier
1679709141
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
748490 Issued in CA
Practice address
1296 Laurel St
#8
San Carlos, CA 94070-5048
Phone
(650) 631-4431
NPI assigned
Jun 10, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 748490 CA Primary

Addresses

Primary practice location

1296 Laurel St
#8
San Carlos, CA 94070-5048

Mailing address

1296 Laurel St
#8
San Carlos, CA 94070-5048
Phone (650) 631-4431

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
I20220405000954 CA Practitioner - Nurse Practitioner 2062808819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.74 of 100Reported as group
Quality
80.2
Promoting interoperability
100
Improvement activities
40
Cost
76.39

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Hospitals Current Accepting new patients
Sutter Bay Hospitals CurrentSince Dec 10, 2021 Accepting new patients
Sutter Bay Hospitals CurrentSince Dec 10, 2021 Accepting new patients

Locations

1580 Valencia St
Ste 508
San Francisco, CA 94110
Phone (415) 641-2140

601 Duboce Ave
San Francisco, CA 94117
Phone (415) 600-0600

Interoperability endpoints

  • Direct secure messaging: cvaughn183343@hisp.ehr.sutterhealth.org

Organizations & group practices 3

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": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244592000000",
    "number": "1679709141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1296 LAUREL ST",
            "address_2": "#8",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940705048",
            "telephone_number": "650-631-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1296 LAUREL ST",
            "address_2": "#8",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940705048",
            "telephone_number": "650-631-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "CHELSEA",
        "middle_name": "SARAH",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "748490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Carlos, CA

Sources for this page

Verify at the official NPI Registry.