Individual provider Active NPI

Kathleen Sue Wheeler, FNP

  • Family Nurse Practitioner
  • Rancho Mirage, CA
National Provider Identifier
1740466887
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
342965 Issued in CA
Practice address
72780 Country Club Dr
Suite B3
Rancho Mirage, CA 92270-4126
Phone
(760) 674-3847
Fax
(760) 674-3845
NPI assigned
Jan 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 342965 CA Primary

Addresses

Primary practice location

72780 Country Club Dr
Suite B3
Rancho Mirage, CA 92270-4126

Mailing address

72780 Country Club Dr
BLDG B 203
Rancho Mirage, CA 92270-4126
Phone (760) 674-3847

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
I20040824001474 CA Practitioner - Nurse Practitioner 1658345616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eisenhower Medical CenterGroup PAC ID 5890689657, 462 clinicians

Practice addresses (Care Compare)

39950 Vista del Sol
Rancho Mirage, CA 92270-3206
Phone (760) 340-0053

45280 Seeley Dr
La Quinta, CA 92253-6834
Phone (760) 610-7200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.87 of 100Reported as group
Quality
85.37
Promoting interoperability
100
Improvement activities
40
Cost
74.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12388CAMDMental Health Counselor
342965CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eisenhower Medical Center CurrentSince Jan 1, 2010 Accepting new patients
Eisenhower Medical Center Current Accepting new patients
Eisenhower Medical Center CurrentSince Jan 1, 2010 Accepting new patients

Locations

72757 Fred Waring Dr
Ste 1
Palm Desert, CA 92260
Phone (760) 340-5800

72780 Country Club Dr
Ste B3
Rancho Mirage, CA 92270
Phone (760) 674-3847

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053

39000 Bob Hope Dr
Ofc
Rancho Mirage, CA 92270
Phone (760) 333-1813

72201 Country Club Dr
Rancho Mirage, CA 92270
Phone (760) 340-5999

72780 Country Club Dr
Ste B203
Rancho Mirage, CA 92270
Phone (760) 674-3847

72780 Country Club Dr
Ste 203
Rancho Mirage, CA 92270
Phone (760) 674-3844

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1200700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1740466887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72780 COUNTRY CLUB DR",
            "address_2": "BLDG B 203",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704126",
            "telephone_number": "760-674-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72780 COUNTRY CLUB DR",
            "address_2": "SUITE B3",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704126",
            "telephone_number": "760-674-3847",
            "fax_number": "760-674-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "KATHLEEN",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-19",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "342965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.