COMPASSIONATE CONCIERGE CARE
NPI 1255905873
Family Medicine in Sebastopol, CA

Active since May 18, 2021
555 PETALUMA AVE STE B1, SEBASTOPOL, CA 95472(707) 694-2390 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2021, May 18, 2021 (2 updates tracked since 2021).

About Compassionate Concierge Care NPPES

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

COMPASSIONATE CONCIERGE CARE (NPI 1255905873) is a healthcare organization registered as a family medicine in Sebastopol, California and active in the NPI registry since May 2021. The organization lists Kathleen E Whisman, Physician / Owner, as its authorized official.

NPPES Registry Identity

NPI1255905873
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOMPASSIONATE CONCIERGE CARE
Location Address555 PETALUMA AVE STE B1Sebastopol, CA 95472-4224
Mailing Address555 Petaluma Ave Ste B1Sebastopol, CA 95472-4224 · (707) 694-2390 · Fax (503) 386-4748
Organization SubpartNo
Authorized OfficialKathleen E WhismanPhysician / Owner · (707) 694-2390
Enumeration DateMay 18, 2021
Last NPPES UpdateJuly 21, 20212 updates tracked since enumeration
NPPES CertifiedJuly 21, 2021
✔ NPI 1255905873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
555 PETALUMA AVE STE B1, Sebastopol, CA 95472

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Compassionate Concierge Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Compassionate Concierge Care, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1124179353
678 PETALUMA AVE
Sebastopol, CA 95472
(707) 823-6997
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Compassionate Concierge Care's NPI number?

The NPI number for Compassionate Concierge Care is 1255905873. It was assigned to this organization in the NPPES registry on May 18, 2021.

Where is Compassionate Concierge Care located?

Compassionate Concierge Care is located at 555 Petaluma Ave Ste B1, Sebastopol, CA 95472. The listed phone number is (707) 694-2390.

What is Compassionate Concierge Care's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Compassionate Concierge Care enrolled in Medicare?

Yes. Compassionate Concierge Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Compassionate Concierge Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Compassionate Concierge Care. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Compassionate Concierge Care was last updated on July 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.