Karen G Chase, FNP RN
Individual provider Active NPI Nurse Practitioner · Fortuna, CA
NPI 1891729406 · NPPES record last updated Aug 22, 2014
Key facts
- NPI
- 1891729406
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- FNP22744 (CA)
- Practice address
- 3304 Renner Dr
Fortuna, CA 95540-7102 - Phone
- (707) 725-4477
- Fax
- (707) 725-9209
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- West Virginia University School of Medicine, 2002
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Sutter Coast Hospital
Practice addresses (Care Compare)
780 E Washington Blvd
Crescent City, CA 95531-8397
Phone (707) 464-6715
800 E Washington Blvd
Crescent City, CA 95531-8359
Phone (707) 464-8511
Hospital & facility affiliations
- Sutter Coast Hospital
- Curry General Hospital
- Asante Rogue Regional Medical Center
- California Pacific Medical Ctr-Davies Campus Hosp
- Asante Three Rivers Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.99 of 100
- Quality
- 57.99
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.95
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 |
|---|---|---|---|---|
| I20181116000431 | CA | Practitioner - Nurse Practitioner | 8820991755 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1101505 | VA | MD | Registered Nurse |
| FNP22744 | CA | MD | Nurse Practitioner |
| 0024165295 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Coast Hospital | Current |
Accepting new patients | |
| Sutter Coast Hospital | Current |
Accepting new patients | |
| Sutter Coast Hospital | Past | Accepting new patients |
Locations
800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511
780 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-5974
Interoperability endpoints
- kchase262226@hisp.ehr.sutterhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1101505 | VA | |
| Nurse Practitioner | 363L00000X | 4066P | KY | |
| Family Nurse Practitioner | 363LF0000X | 0024165295 | VA | |
| Nurse Practitioner | 363L00000X | FNP22744 | CA | Yes |
Addresses
Primary practice location
3304 Renner Dr
Fortuna, CA 95540-7102
Mailing address
670 9TH St
Suite 203
Arcata, CA 95521-6248
Phone (707) 826-8633
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891729406 | Other | CA | NATIONAL PROVIDER IDENTIFICATION |
| 1510227 | Medicaid | TN | |
| 1891729406 | Medicaid | VA |
Other providers in Fortuna, CA
- Caris Cassady
- Marc Cavallo
- Center Community Pharmacy
- Cep America - California
- Susie PA Cha
- Hyun Ryung Choi
- Church of Loving Hands, Inc.
- Danielle Leighann Cole
- Johnny Keith Coleman
- Jeffrey David Coutant
All providers in Fortuna, CA · Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2014. 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.