Individual provider Active NPI

Katy Schousen, MD

  • Family Medicine Physician
  • Tahoe City, CA
National Provider Identifier
1881034734
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
155792 Issued in CA
Practice address
925 North Lake Blvd
Tahoe City, CA 96145
Phone
(530) 581-8864
NPI assigned
Jun 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 155792 CA Primary

Addresses

Primary practice location

925 North Lake Blvd
Tahoe City, CA 96145

Mailing address

PO Box 60901
Truckee, CA 96160-9001
Phone (530) 581-8864

Other practice location 1

10121 Pine Ave
Truckee, CA 96161-4835
Phone (530) 582-1212

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200630002508 CA Practitioner - Family Practice 6800102500 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oregon Health Sciences University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tahoe Forest Hospital DistrictGroup PAC ID 0446161335, shared by 12 NPIs, 140 clinicians

Practice addresses (Care Compare)

10051 Lake Ave
Suite 3
Truckee, CA 96161-4870
Phone (530) 587-7461

10121 Pine Ave
Truckee, CA 96161-4835
Phone (530) 587-6011

925 N Lake Blvd
Suite 102B
Tahoe City, CA 96145-2307
Phone (530) 581-8864

Hospital & facility affiliations

  • Tahoe Forest Hospital Hospital, Truckee, CA, CCN 051328
  • Incline Village Community Hospital Hospital, Incline Village, NV, CCN 291301

Merit-based Incentive Payment System (MIPS)

Final score
75.06 of 100Reported as group
Quality
83.97
Promoting interoperability
88
Improvement activities
40
Cost
42.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
155792CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tahoe Forest Hospital District Current Accepting new patients
Tahoe Forest Hospital District CurrentSince Mar 17, 2020 Accepting new patients
Tahoe Forest Hospital District CurrentSince Mar 17, 2020 Accepting new patients
Tahoe Forest Hospital District Current Accepting new patients

Locations

10121 Pine Ave
Truckee, CA 96161
Phone (530) 582-3220

10956 Donner Pass Rd
Fl 23
Truckee, CA 96161
Phone (530) 587-3523

10978 Donner Pass Rd
Truckee, CA 96161
Phone (530) 582-1212

10051 Lake Ave
Ste 3
Truckee, CA 96161
Phone (530) 587-7461

Interoperability endpoints

  • Direct secure messaging: kschousen704987@direct.multicare.org
  • Direct secure messaging: kschousen1002626@directa.mercy.net

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 2

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": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1881034734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60901",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961609001",
            "telephone_number": "530-581-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 NORTH LAKE BLVD",
            "city": "TAHOE CITY",
            "state": "CA",
            "postal_code": "96145",
            "telephone_number": "530-581-8864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10121 Pine Ave",
            "address_purpose": "LOCATION",
            "city": "Truckee",
            "state": "CA",
            "postal_code": "961614835",
            "country_code": "US",
            "telephone_number": "530-582-1212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHOUSEN",
        "first_name": "KATY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "155792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tahoe City, CA

Sources for this page

Verify at the official NPI Registry.