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KATHRYN SARAH AXSOM APN
NPI 1487026795
Nurse Practitioner - Primary Care in Palo Alto, CA

Active since October 26, 2015PECOS Enrolled
3801 MIRANDA AVE, HBPC MB3-323, PALO ALTO, CA 94304(650) 493-5000(650) 858-8905 Get Directions Write a Review

NPPES record last updated: February 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 12, 2021, Nov 30, 2015 (2 updates tracked since 2015).

About Kathryn Sarah Axsom Apn NPPES

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

KATHRYN SARAH AXSOM APN (NPI 1487026795) is an individual primary care provider in Palo Alto, California, licensed in California (95003849) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Sonora.

NPPES Registry Identity

NPI1487026795
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameKATHRYN SARAH AXSOMCredential: APN
Location Address3801 MIRANDA AVE, HBPC MB3-323Palo Alto, CA 94304
Mailing Address3801 Miranda Ave, Hbpc Mb3-323Palo Alto, CA 94304 · (650) 493-5000 · Fax (650) 858-8905
Phone(650) 493-5000
Fax(650) 858-8905
Sole ProprietorNo
Enumeration DateOctober 26, 2015
Last NPPES UpdateFebruary 12, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2021
✔ NPI 1487026795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CA · 95003849
3801 MIRANDA AVE, Palo Alto, CA 94304
Open in Google Maps ↗

Secondary Practice Location 1

Location 113663 Mono WaySonora, CA 95370-2811 · Phone (209) 588-2603

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn Sarah Axsom Apn 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 94304 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

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.

DR. LAURA ELIZABETH STODDARD PHARMD
Pharmacist
3801 MIRANDA AVE
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
DR. KEVIN MCKENNA PH.D.
Psychologist (Clinical)
3801 MIRANDA AVE
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
VALLANCE WA-LUN AU-YEUNG PHARMD
Pharmacist
3801 MIRANDA AVE
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
ARLENE VICENTE-VELASCO
Registered Nurse
3801 MIRANDA AVE
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
MAHNOOSH KUHBANANI SEIFODDINI M.D.
Internal Medicine
3801 MIRANDA AVE, VA PALO ALTO HEALTH CARE SYSTEM (111STC)
PALO ALTO, CA 94304
Santa Clara County (209) 946-3400
DR. EDWARD LEE COHEN MD
Obstetrics & Gynecology
3801 MIRANDA AVE, #112
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
MRS. JEAN JONES GURGA OTR/L
Occupational Therapist
3801 MIRANDA AVE, PMRS (117)
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
MS. ELLEN WHITE FORD LCSW, MSW, MPH
Social Worker (Clinical)
3801 MIRANDA AVE, VAPAHCS SOCIAL WORK SERVICE, 122 PA
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000

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 Kathryn Axsom's NPI number?

The NPI number for Kathryn Axsom is 1487026795. It was assigned to this individual provider in the NPPES registry on October 26, 2015.

Where is Kathryn Axsom located?

Kathryn Axsom practices at 3801 Miranda Ave Hbpc Mb3-323, Palo Alto, CA 94304. The listed phone number is (650) 493-5000.

What is Kathryn Axsom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Kathryn Axsom enrolled in Medicare?

Yes. Kathryn Axsom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathryn Axsom was last updated on February 12, 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.