Individual provider Active NPI

Karen Sprague, N.P.

  • Nurse Practitioner
  • Dixon, CA
National Provider Identifier
1992887566
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
7448 Issued in CA
Practice address
131 W a St
Dixon, CA 95620-3437
Phone
(707) 635-1600
Fax
(707) 635-1641
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 7448 CA Primary

Addresses

Primary practice location

131 W a St
Dixon, CA 95620-3437

Mailing address

3218 Conquistador Way
Davis, CA 95618-6722
Phone (916) 753-7123

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040622001681 CA Practitioner - Nurse Practitioner 3173508280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Centers, Inc.Group PAC ID 8426968520, 47 clinicians

Practice addresses (Care Compare)

131 W a St
Dixon, CA 95620-3437
Phone (707) 635-1600

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Centers Inc CurrentSince Jul 1, 2010 Accepting new patients
Community Medical Centers, Inc CurrentSince Jul 1, 2010 Accepting new patients
Community Medical Centers, Inc. Current Accepting new patients

Locations

131 W A St
Ste 3
Dixon, CA 95620
Phone (707) 635-1600

131 W A St
Ste 1
Dixon, CA 95620
Phone (707) 635-1600

7210 Murray Dr
Stockton, CA 95210
Phone (209) 373-2816

600 Nut Tree Rd
Ste 260
Vacaville, CA 95687
Phone (707) 259-1800

Interoperability endpoints

  • Direct secure messaging: karen.sprague.p1@direct.cmcentersinc.nextgenshare.com
  • Direct secure messaging: ksprague761609@direct.ochin.org

Organizations & group practices 3

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1992887566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3218 CONQUISTADOR WAY",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956186722",
            "telephone_number": "916-753-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 W A ST",
            "city": "DIXON",
            "state": "CA",
            "postal_code": "956203437",
            "telephone_number": "707-635-1600",
            "fax_number": "707-635-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRAGUE",
        "first_name": "KAREN",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "7448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dixon, CA

Sources for this page

Verify at the official NPI Registry.