Individual provider Active NPI

Caithleen Paterson Zikorus, N.P.

  • Family Nurse Practitioner
  • Gualala, CA
National Provider Identifier
1831494293
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95019942 Issued in CA
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

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 IncGroup PAC ID 4880584416, 88 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
95019942CAMDFamily Nurse Practitioner
336535NYMDFamily Nurse Practitioner

Practice roles (3 of 7)

OrganizationSpecialtyStatusNew patients
Refuah Health Center, Inc. CurrentSince Jan 1, 2013 Accepting new patients
Refuah Health Center, Inc. CurrentSince Jan 1, 2013 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.

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

Verify at the official NPI Registry.