Carla J. Stange, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2199 Issued in CA

Practice address

45081 Little Lake St
Mendocino, CA 95460

Phone

(707) 937-1055

Fax

(707) 937-1061

NPI assigned

Oct 26, 2006

Last updated

Jan 22, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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

Merit-based Incentive Payment System (MIPS)

Final score

80.98 of 100Reported as group

Quality

73.31

Promoting interoperability

92

Improvement activities

40

Cost

62

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cstange_amg@amg1500.srs-direct.com
• FHIR API: https://app.meldrx.com/api/fhir/Freedom_AMG

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Attenda Medical Group Inc

  • Family Medicine Physician
  • Santa Rosa, CA
  • NPI 1740866615

  Multi-Specialty

  Medicare reassignment NPD
• Adventist Health Mendocino Coast

  dba Mendocino Coast District Hospital

  • Critical Access Hospital
  • Fort Bragg, CA
  • NPI 1538113725
  Medicare reassignment

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1780769166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 MENDOCINO AVE STE 200",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033634",
            "telephone_number": "707-525-6485",
            "fax_number": "707-573-6918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45081 LITTLE LAKE ST",
            "city": "MENDOCINO",
            "state": "CA",
            "postal_code": "95460",
            "telephone_number": "707-937-1055",
            "fax_number": "707-937-1061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 Ukiah St.",
            "address_purpose": "LOCATION",
            "city": "Mendocino",
            "state": "CA",
            "postal_code": "954601129",
            "country_code": "US",
            "telephone_number": "707-937-4202 x12",
            "fax_number": "707-937-6003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANGE",
        "first_name": "CARLA",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "336450",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "2199",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "336450",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawnmarie Risley-Childs, D.O.
• Steven L Siler, MFT
• Judith Phillips Sill, PHD
• Faith Susan Simon, FNP
• Charles Leslie Sleight, CHIROPRACTOR
• Jennifer L Stewart, MD
• Marcus Sheldon Strutz, DC
• Diane Watjen, O.T.
• Anna Yanez, PPS

• Family Nurse Practitioner in Mendocino, CA
• Providers in Mendocino, 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 Jan 22, 2019; 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.