CATHLEEN ENCARNACION PA-C
NPI 1659719599
Physician Assistant in Carmichael, CA

Active since June 13, 2013PECOS EnrolledAccepts Medicare Assignment
96.5/100
CMS Quality Rating
6555 COYLE AVENUE, CARMICHAEL, CA 95608(916) 536-2585(916) 536-2583 Get Directions Write a Review

NPPES record last updated: July 19, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cathleen Encarnacion Pa-c NPPES

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

CATHLEEN ENCARNACION PA-C (NPI 1659719599) is an individual physician assistant in Carmichael, California, licensed in California (PA21983) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1659719599
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCATHLEEN ENCARNACIONCredential: PA-C
Location Address6555 COYLE AVENUECarmichael, CA 95608
Mailing Address3400 Data Dr, Physician Support ServicesRancho Cordova, CA 95670-7956 · (916) 379-2948 · Fax (916) 858-7065
Fax(916) 536-2583
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 13, 2013
Last NPPES UpdateJuly 19, 2013
NPI 1659719599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA21983
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6555 COYLE AVENUE, Carmichael, CA 95608

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Cathleen Encarnacion Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749423648
PECOS Enrollment IDI20130824000142
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
171 services82 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
82 services81 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
68 services33 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95608 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
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

Other Providers at the Same Location NPPES 6

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

Hospitalist
6555 COYLE AVENUE
CARMICHAEL, CA 95608
Internal Medicine (Nephrology)
6555 COYLE AVENUE
CARMICHAEL, CA 95608
Internal Medicine
6555 COYLE AVENUE
CARMICHAEL, CA 95608
Physician Assistant (Surgical)
6555 COYLE AVENUE
CARMICHAEL, CA 95608
Psychiatry & Neurology (Neurology)
6555 COYLE AVENUE
CARMICHAEL, CA 95608
Nurse Practitioner (Adult Health)
6555 COYLE AVENUE
CARMICHAEL, CA 95608

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 Cathleen Encarnacion's NPI number?

The NPI number for Cathleen Encarnacion is 1659719599. It was assigned to this individual provider in the NPPES registry on June 13, 2013.

Where is Cathleen Encarnacion located?

Cathleen Encarnacion practices at 6555 Coyle Avenue, Carmichael, CA 95608. The listed phone number is (916) 536-2585.

What is Cathleen Encarnacion's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Cathleen Encarnacion enrolled in Medicare?

Yes. Cathleen Encarnacion is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Cathleen Encarnacion was last updated on July 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.