NPIMap

Individual provider Active NPI

Carolee A Ross, N.P.

  • Adult Health Nurse Practitioner
  • Sonora, CA
National Provider Identifier
1871698241
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
NP10073 Issued in CA
Practice address
690 Guzzi LN
Ste. C
Sonora, CA 95370-5289
Phone
(209) 533-0333
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NP10073 CA Primary

Addresses

Primary practice location

690 Guzzi LN
Ste. C
Sonora, CA 95370-5289

Mailing address

690 Guzzi LN
Ste. C
Sonora, CA 95370-5289
Phone (209) 533-0333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061120000230 CA Practitioner - Nurse Practitioner 4789682196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of California, Geffen School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sonora Community HospitalGroup PAC ID 4284538505, 134 clinicians

Practice addresses (Care Compare)

690 Guzzi LN
Suite Candd
Sonora, CA 95370-5289
Phone (209) 536-3820

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
81.74
Promoting interoperability
97
Improvement activities
40
Cost
67.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP10073CAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sonora Community Hospital Current Accepting new patients
Sonora Community Hospital CurrentSince Apr 13, 2019 Accepting new patients
Sonora Community Hospital CurrentSince Apr 13, 2019 Accepting new patients
Sonora Community Hospital Past Accepting new patients

Locations

680 Guzzi Ln
Ste 106
Sonora, CA 95370
Phone (209) 532-2792

690 Guzzi Ln
Ste C
Sonora, CA 95370
Phone (209) 533-0333

680 Guzzi Ln
Ste 201
Sonora, CA 95370
Phone (209) 536-1785

690 Guzzi Ln
Ste Cd
Sonora, CA 95370
Phone (209) 536-3820

Organizations & group practices 4

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1871698241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 GUZZI LN",
            "address_2": "STE. C",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705289",
            "telephone_number": "209-533-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 GUZZI LN",
            "address_2": "STE. C",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705289",
            "telephone_number": "209-533-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "CAROLEE",
        "middle_name": "A",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "NP10073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonora, CA

Sources for this page

Verify at the official NPI Registry.