Robert L Kunkle, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95013803 Issued in CA

Practice address

1215 Plumas Street
Suite 101
Yuba City, CA 95991

Phone

(530) 821-5865

Fax

(530) 673-4388

NPI assigned

Mar 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colusa Indian Community CouncilGroup PAC ID 1951211069, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Colusa Medical Center Hospital, Colusa, CA, CCN 050783

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Colusa Indian Community Council

  • Federally Qualified Health Center (FQHC)
  • Colusa, CA
  • NPI 1790778660
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Colusa Medical Center LLC

  • Rural Acute Care Hospital
  • Colusa, CA
  • NPI 1215475124
  Care Compare affiliation

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1700901543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 PLUMAS STREET",
            "address_2": "SUITE 101",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "95991",
            "telephone_number": "530-821-5865",
            "fax_number": "530-673-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 PLUMAS STREET",
            "address_2": "SUITE 101",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "95991",
            "telephone_number": "530-821-5865",
            "fax_number": "530-673-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNKLE",
        "first_name": "ROBERT",
        "middle_name": "L",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "23038",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95013803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Gerard Kryski, M.D.
• Steven Paul Kuester, M.S., MFT
• Arun Kumar, M.D.
• Kunkle Chiropractic Inc
• Kunkle Health and Wellness a Nursing Corporation
• Anton Kurdin
• J'Lene Kurtz, LPT
• Alla Kushnir, PMHNP-BC
• L.C. Stubblefield Family Chiropractic, Inc.
• Taylor Rae Labosky

• Family Nurse Practitioner in Yuba City, CA
• Providers in Yuba City, 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 May 9, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.