Active NPI
Caithleen Paterson Zikorus, N.P.
- Family Nurse Practitioner
- Gualala, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95019942
- Practice address
- 46900 Ocean Dr
Gualala, CA 95445-9544 - Phone
- (707) 884-4005
- Fax
- (707) 884-4625
- NPI assigned
- Jan 17, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 336535 | NY | |
| Family Nurse Practitioner | 363LF0000X | 95019942 | CA | Primary |
Addresses
Primary practice location
46900 Ocean Dr
Gualala, CA 95445-9544
Mailing address
PO Box 1955
Gualala, CA 95445-1955
Phone (845) 282-1723
Other practice location 1
728 N Main St
New Square, NY 10977-8916
Phone (845) 354-9300
Other practice location 2
38851 S Highway 1
Unit 31
Gualala, CA 95445
Phone (707) 884-4005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130521000390 | NY | Practitioner - Nurse Practitioner | 8426296054 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- State University of New York at Stony Brook, School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Refuah Health Center Inc
Practice addresses (Care Compare)
408 Wilson Ave
New Square, NY 10977-1946
Phone (845) 354-9300
5 Twin Ave
Spring Valley, NY 10977-3950
Phone (845) 354-9300
728 N Main St
Spring Valley, NY 10977-8614
728 N Main St
New Square, NY 10977-8916
Phone (845) 354-9300
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.98 of 100
- Quality
- 73.31
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 62
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95019942 | CA | MD | Family Nurse Practitioner |
| 336535 | NY | MD | Family Nurse Practitioner |
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Refuah Health Center, Inc. | Current | Accepting new patients | |
| Refuah Health Center, Inc. | Current | Accepting new patients | |
| Refuah Health Center Inc | Current | Accepting new patients |
Locations
728 N Main St
New Square, NY 10977
Phone (845) 354-9301
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Organizations & group practices 7
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.
-
- Federally Qualified Health Center (FQHC)
- Spring Valley, NY
- NPI 1669470019
NY
-
- Federally Qualified Health Center (FQHC)
- Liberty, NY
- NPI 1942903588
-
- Federally Qualified Health Center (FQHC)
- Spring Valley, NY
- NPI 1952678245
-
- Federally Qualified Health Center (FQHC)
- Spring Valley, NY
- NPI 1114621182
-
- Federally Qualified Health Center (FQHC)
- Airmont, NY
- NPI 1184327728
-
- Federally Qualified Health Center (FQHC)
- South Fallsburg, NY
- NPI 1649618067
-
- Pharmacy
- South Fallsburg, NY
- NPI 1801233986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1831494293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1955",
"city": "GUALALA",
"state": "CA",
"postal_code": "954451955",
"telephone_number": "845-282-1723",
"fax_number": "707-884-4625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46900 OCEAN DR",
"city": "GUALALA",
"state": "CA",
"postal_code": "954459544",
"telephone_number": "707-884-4005",
"fax_number": "707-884-4625"
}
],
"practiceLocations": [
{
"address_1": "728 N Main St",
"address_purpose": "LOCATION",
"city": "New Square",
"state": "NY",
"postal_code": "109778916",
"country_code": "US",
"telephone_number": "845-354-9300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "38851 S Highway 1",
"address_2": "Unit 31",
"address_purpose": "LOCATION",
"city": "Gualala",
"state": "CA",
"postal_code": "95445",
"country_code": "US",
"telephone_number": "707-884-4005",
"fax_number": "707-884-4625",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZIKORUS",
"first_name": "CAITHLEEN",
"middle_name": "PATERSON",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-17",
"last_updated": "2022-12-05",
"certification_date": "2022-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "336535",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95019942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gualala, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.