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MARISA ANGELENE KAUTZ FNP
NPI 1700640752
Nurse Practitioner - Family in Stockton, CA

Active since February 09, 2024PECOS Enrolled
1801 E MARCH LN STE A170, STOCKTON, CA 95210(209) 477-5552(209) 477-5553 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2024, Feb 9, 2024 (2 updates tracked since 2024).

About Marisa Angelene Kautz Fnp NPPES

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

MARISA ANGELENE KAUTZ FNP (NPI 1700640752) is an individual family provider in Stockton, California, licensed in California (95029291) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700640752
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARISA ANGELENE KAUTZCredential: FNP
Location Address1801 E MARCH LN STE A170Stockton, CA 95210-6673
Mailing Address1801 E March Ln Ste A170Stockton, CA 95210-6673 · (209) 477-5552 · Fax (209) 477-5553
Phone(209) 477-5552
Fax(209) 477-5553
Sole ProprietorNo
Enumeration DateFebruary 9, 2024
Last NPPES UpdateMarch 5, 20242 updates tracked since enumeration
NPPES CertifiedMarch 5, 2024
✔ NPI 1700640752 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 · 95029291
1801 E MARCH LN STE A170, Stockton, CA 95210
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marisa Angelene Kautz Fnp 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 95210 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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 4

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

RICHELLE GOMEZ MARASIGAN D.O.
Family Medicine
1801 E MARCH LN STE A170
STOCKTON, CA 95210
San Joaquin County (209) 477-5552
HT FAMILY PHYSICIANS, INC.
Family Medicine
1801 E MARCH LN STE A170
STOCKTON, CA 95210
San Joaquin County (209) 477-5552
DR. MAHBOOB ALI MD
Internal Medicine (Interventional Cardiology)
1801 E MARCH LN STE A170
STOCKTON, CA 95210
San Joaquin County (209) 951-9884
DR. RAISSA MARASIGAN HILL D.O.
Family Medicine
1801 E MARCH LN STE A170
STOCKTON, CA 95210
San Joaquin County (209) 477-5552

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 Marisa Kautz's NPI number?

The NPI number for Marisa Kautz is 1700640752. It was assigned to this individual provider in the NPPES registry on February 9, 2024.

Where is Marisa Kautz located?

Marisa Kautz practices at 1801 E March Ln Ste A170, Stockton, CA 95210. The listed phone number is (209) 477-5552.

What is Marisa Kautz's specialty?

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

Is Marisa Kautz enrolled in Medicare?

Yes. Marisa Kautz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marisa Kautz was last updated on March 5, 2024. 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.