Individual provider Active NPI

Courtney Jane Dimpel

  • Physician Assistant
  • Santa Cruz, CA
National Provider Identifier
1801461983
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1505 Soquel Dr
Santa Cruz, CA 95065-1716
Phone
(831) 462-7700
NPI assigned
May 21, 2021
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 59709 CA
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1505 Soquel Dr
Santa Cruz, CA 95065-1716

Mailing address

747 Calabasas Road
Watsonville, CA 95076
Phone (831) 588-2864

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
I20210728003300 CA Practitioner - Physician Assistant 0941603948 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

1595 Soquel Dr
Santa Cruz, CA 95065-1724

1820 41St Ave
Capitola, CA 95010-2516

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthonorcal, Inc. CurrentSince Aug 16, 2021 Accepting new patients
Golden State Orthopedics & Spine CurrentSince Feb 17, 2022 Accepting new patients
Orthonorcal Inc CurrentSince Aug 16, 2021 Accepting new patients
Cep America-California CurrentSince Sep 1, 2021 Accepting new patients
Dignity Health Medical Foundation CurrentSince Dec 10, 2023 Accepting new patients
Golden State Orthopedics & Spine CurrentSince Feb 17, 2022 Accepting new patients
Dignity Health Medical Foundation CurrentSince Dec 10, 2023 Accepting new patients
Cep America- California CurrentSince Sep 1, 2021 Accepting new patients
Dignity Health Past Accepting new patients
Golden State Orthopedics & Spine Past Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients

Locations

1820 41st Ave
Ste C
Capitola, CA 95010
Phone (831) 462-1212

4140 Jade St
Ste 100
Capitola, CA 95010
Phone (831) 475-4024

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

1595 Soquel Dr
Ste 400
Santa Cruz, CA 95065
Phone (831) 475-1111

2405 Shadelands Dr
Walnut Creek, CA 94598
Phone (615) 930-0820

Interoperability endpoints

  • Direct secure messaging: courtney.dimpel.p1@direct.muirortho.nextgenshare.com
  • Direct secure messaging: courtney.dimpel.p2@direct.muirortho.nextgenshare.com
  • Direct secure messaging: courtney.dimpelpac.p1@direct.orthonorcal.nextgenshare.com

Organizations & group practices 14

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.

View all 14

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": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1801461983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 CALABASAS ROAD",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "95076",
            "telephone_number": "831-588-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 SOQUEL DR",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651716",
            "telephone_number": "831-462-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMPEL",
        "first_name": "COURTNEY",
        "middle_name": "JANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "59709",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.