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MS. THERESIA SOETJIPTO MS,NP
NPI 1932565181
Nurse Practitioner in San Francisco, CA

Active since January 04, 2016PECOS EnrolledAccepts Medicare Assignment
74.46/100
CMS Quality Rating
505 PARNASSUS AVE # M-361, CAMPUS BOX 0628, SAN FRANCISCO, CA 94143(415) 353-1300(415) 353-8570 Get Directions Write a Review

NPPES record last updated: January 4, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Theresia Soetjipto Ms,np NPPES

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

MS. THERESIA SOETJIPTO MS,NP (NPI 1932565181) is an individual nurse practitioner in San Francisco, California, licensed in California (21074) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1932565181
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. THERESIA SOETJIPTOCredential: MS,NP
Location Address505 PARNASSUS AVE # M-361, CAMPUS BOX 0628San Francisco, CA 94143-2204
Mailing Address505 Parnassus Ave # M-361, Campus Box 0628San Francisco, CA 94143-2204
Phone(415) 353-1300
Fax(415) 353-8570
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 4, 2016
✔ NPI 1932565181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 21074
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
505 PARNASSUS AVE # M-361, San Francisco, CA 94143
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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 and accepts Medicare assignment

Ms. Theresia Soetjipto Ms,np 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 ID2466720883
PECOS Enrollment IDI20170607002256
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 94143 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

74.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability76
Improvement Activities40
Cost46.68

Other Providers at the Same Location NPPES 2

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

DR. KANTI PALLAV KOLLI M.D.
Radiology (Vascular & Interventional Radiology)
505 PARNASSUS AVE # M-361
SAN FRANCISCO, CA 94143
San Francisco County (415) 353-1300
ANDREW GRENVILLE TAYLOR MD, PH.D.
Radiology (Vascular & Interventional Radiology)
505 PARNASSUS AVE # M-361
SAN FRANCISCO, CA 94143
San Francisco County (415) 353-1300

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 Theresia Soetjipto's NPI number?

The NPI number for Theresia Soetjipto is 1932565181. It was assigned to this individual provider in the NPPES registry on January 4, 2016.

Where is Theresia Soetjipto located?

Theresia Soetjipto practices at 505 Parnassus Ave # M-361 Campus Box 0628, San Francisco, CA 94143. The listed phone number is (415) 353-1300.

What is Theresia Soetjipto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Theresia Soetjipto enrolled in Medicare?

Yes. Theresia Soetjipto 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 Theresia Soetjipto was last updated on January 4, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.