KATHLEEN C HILTON N.P.
NPI 1003364084
Nurse Practitioner - Family in Santa Cruz, CA

Active since September 19, 2016PECOS Enrolled
96.5/100
CMS Quality Rating
1510 CAPITOLA RD, SANTA CRUZ, CA 95062(831) 427-3500 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 26, 2023, Dec 7, 2018, Sep 19, 2016 (3 updates tracked since 2016).

About Kathleen C Hilton N.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN C HILTON N.P. (NPI 1003364084) is an individual family provider in Santa Cruz, California, licensed in California (95003725) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003364084
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHLEEN C HILTONCredential: N.P.
Location Address1510 CAPITOLA RDSanta Cruz, CA 95062-2912
Mailing AddressPo Box 542Santa Cruz, CA 95061-0542 · (831) 427-3500
Sole ProprietorNo
Enumeration DateSeptember 19, 2016
Last NPPES UpdateOctober 26, 20233 updates tracked since enumeration
NPPES CertifiedOctober 26, 2023
NPI 1003364084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95003725
1510 CAPITOLA RD, Santa Cruz, CA 95062

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kathleen C Hilton N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95062 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.03 typical visit price
range $62.97 – $186.69
Typical copayment $24.00 (range $15.74 – $46.67)
Most-billed visit code 99203
Established Patient
$109.72 typical visit price
range $21.02 – $153.16
Typical copayment $27.43 (range $5.25 – $38.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.34
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers20 claims37 services$5.51 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$4.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1510 CAPITOLA RD
SANTA CRUZ, CA 95062
Registered Nurse
1510 CAPITOLA RD
SANTA CRUZ, CA 95062
Nurse Practitioner (Family)
1510 CAPITOLA RD
SANTA CRUZ, CA 95062
Nurse Practitioner (Pediatrics)
1510 CAPITOLA RD
SANTA CRUZ, CA 95062
Physician Assistant
1510 CAPITOLA RD
SANTA CRUZ, CA 95062
Marriage & Family Therapist
1510 CAPITOLA RD
SANTA CRUZ, CA 95062
Pain Medicine (Pain Medicine)
1510 CAPITOLA RD
SANTA CRUZ, CA 95062
Nurse Practitioner (Family)
1510 CAPITOLA RD
SANTA CRUZ, CA 95062

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Hilton's NPI number?

The NPI number for Kathleen Hilton is 1003364084. It was assigned to this individual provider in the NPPES registry on September 19, 2016.

Where is Kathleen Hilton located?

Kathleen Hilton practices at 1510 Capitola Rd, Santa Cruz, CA 95062. The listed phone number is (831) 427-3500.

What is Kathleen Hilton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kathleen Hilton enrolled in Medicare?

Yes. Kathleen Hilton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathleen Hilton was last updated on October 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.