Courtney Jane Dimpel
Individual provider Active NPI Physician Assistant · Santa Cruz, CA
NPI 1801461983 · NPPES record last updated Oct 30, 2024
Key facts
- NPI
- 1801461983
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 1505 Soquel Dr
Santa Cruz, CA 95065-1716 - Phone
- (831) 462-7700
- NPI assigned
- May 21, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dignity Health Medical Foundation
Practice addresses (Care Compare)
1595 Soquel Dr
Santa Cruz, CA 95065-1724
1820 41St Ave
Capitola, CA 95010-2516
Hospital & facility affiliations
- Dominican Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.69 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 78.43
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210728003300 | CA | Practitioner - Physician Assistant | 0941603948 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59709 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America- California | Current |
Accepting new patients | |
| Dignity Health Medical Foundation | Current |
Accepting new patients | |
| Golden State Orthopedics & Spine | Current |
Accepting new patients | |
| Orthonorcal Inc | Current |
Accepting new patients | |
| Golden State Orthopedics & Spine | Current |
Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Dignity Health Medical Foundation | Past | Accepting new patients | |
| Golden State Orthopedics & Spine | Past | Accepting new patients |
Locations
4140 Jade St
Ste 100
Capitola, CA 95010
Phone (831) 475-4024
1820 41st Ave
Ste C
Capitola, CA 95010
Phone (831) 462-1212
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
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
- courtney.dimpel.p2@direct.muirortho.nextgenshare.com
- courtney.dimpel.p1@direct.muirortho.nextgenshare.com
- courtney.dimpelpac.p1@direct.orthonorcal.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 59709 | CA | |
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
1505 Soquel Dr
Santa Cruz, CA 95065-1716
Mailing address
747 Calabasas Road
Watsonville, CA 95076
Phone (831) 588-2864
Other providers in Santa Cruz, CA
- Dignity Health
- Dignity Health
- Dignity Health Medical Foundation
- Dignity Health Medical Foundation
- Cindy Dillard
- Caitlin Nicole Dios
- Casey Diraimondo
- Tina Hope Distad
- Divine Senior Care Inc.
- Jessica Wall Divine
All providers in Santa Cruz, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.