Marisa Angelene Kautz, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95029291 Issued in CA

Practice address

1801 E March LN Ste A170
Stockton, CA 95210-6673

Phone

(209) 477-5552

Fax

(209) 477-5553

NPI assigned

Feb 9, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mkautz220417@hpmg.direct-ci.net

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.

• HT Family Physicians, Inc.

  • Family Medicine Physician
  • Stockton, CA
  • NPI 1063660298
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1700640752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 E MARCH LN STE A170",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952106673",
            "telephone_number": "209-477-5552",
            "fax_number": "209-477-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E MARCH LN STE A170",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952106673",
            "telephone_number": "209-477-5552",
            "fax_number": "209-477-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUTZ",
        "first_name": "MARISA",
        "middle_name": "ANGELENE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95029291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simranpreet Kaur, PHARM D
• Sukhdeep Kaur, M.D.
• Sukhwinder Kaur
• Tarandeep Kaur, MD
• Gayathri Kaushik, M.D.,
• Priscilla Lupita Kavanagh, LPCC
• Alan T Kawaguchi, MD
• Adam Kaye, PHARM.D.,FASCP,FCPHA
• Bahare Kazemi, MD
• Syed Kazmi, M.D.

• Family Nurse Practitioner in Stockton, CA
• Providers in Stockton, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.