Individual provider Active NPI

Monica Kay Mais, F.N.P

  • Family Nurse Practitioner
  • Yreka, CA
National Provider Identifier
1902233349
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23683 Issued in CA
Practice address
475 Bruce St
Yreka, CA 96097-3474
Phone
(530) 842-3507
NPI assigned
Sep 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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 202103853NP-PP OR
Family Nurse Practitioner 363LF0000X 23683 CA Primary

Addresses

Primary practice location

475 Bruce St
Yreka, CA 96097-3474

Mailing address

475 Bruce St
Yreka, CA 96097-3474
Phone (530) 842-3507

Other practice location 1

910 S Central Ave
Medford, OR 97501-7822
Phone (541) 618-1380

Other practice location 2

616 Market St
Medford, OR 97504-6126
Phone (541) 494-3840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150105001657 CA Practitioner - Nurse Practitioner 7618290305 Reassigns benefits to 2 organizations
I20210503002835 OR Practitioner - Nurse Practitioner 7618290305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Siskiyou Hospital IncGroup PAC ID 1254223134, 96 clinicians

Practice addresses (Care Compare)

444 Bruce St
Yreka, CA 96097-3450
Phone (530) 842-4121

475 Bruce St
Yreka, CA 96097-3474
Phone (530) 842-4121

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Options for Southern Oregon CurrentSince Nov 3, 2022 Accepting new patients
Options for Southern Oregon Current Accepting new patients
Siskiyou Hospital, Inc. CurrentSince Sep 21, 2014 Accepting new patients
Options for Southern Oregon CurrentSince Nov 3, 2022 Accepting new patients

Locations

444 Bruce St
Yreka, CA 96097
Phone (530) 841-6256

475 Bruce St
Ste 900
Yreka, CA 96097

475 Bruce St
Yreka, CA 96097
Phone (530) 842-3507

475 Bruce St
Ste 500
Yreka, CA 96097
Phone (530) 842-3507

1545 Harbeck Rd
Grants Pass, OR 97527
Phone (541) 479-2371

1215 SW G St
Grants Pass, OR 97526
Phone (541) 244-4109

Interoperability endpoints

  • Direct secure messaging: mmais3104545@oc.providencedirect.org
  • Direct secure messaging: monicamais@oso.allscriptsdirect.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 4

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": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1902233349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 BRUCE ST",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960973474",
            "telephone_number": "530-842-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 BRUCE ST",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960973474",
            "telephone_number": "530-842-3507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 S Central Ave",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975017822",
            "country_code": "US",
            "telephone_number": "541-618-1380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "616 Market St",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975046126",
            "country_code": "US",
            "telephone_number": "541-494-3840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAIS",
        "first_name": "MONICA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "F.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202103853NP-PP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "23683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yreka, CA

Sources for this page

Verify at the official NPI Registry.