MS. THERESIA SOETJIPTO MS,NP
NPI 1932565181
Nurse Practitioner in San Francisco, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
4Medicare enrollment records show Theresia Soetjipto reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 2,112 clinicians in this Medicare group
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 1,159 clinicians in this Medicare group
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 5,645 clinicians in this Medicare group
San Francisco, CA 94122
- Reassigned Medicare billing, California enrollment
- 5,544 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
SAN FRANCISCO, CA 94143
SAN FRANCISCO, CA 94143
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.
Which organizations bill Medicare for Theresia Soetjipto's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theresia Soetjipto reassigns Medicare benefits to 4 organizations: Regents Of The University Of California (San Francisco, CA), Ucsf Pediatrics Associates (San Francisco, CA), University Of California San Francisco (San Francisco, CA) and Ucsf Medical Group Business Services (San Francisco, CA). Each 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 Theresia Soetjipto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Theresia Soetjipto was last updated on January 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Ms. Theresia Soetjipto, MS,NP · NPI 1932565181
Nurse Practitioner physician in San Francisco, California. Individual provider, active in the CMS NPPES registry since January 4, 2016.
## Identity
- **NPI:** 1932565181 (Entity type: Individual)
- **Enumerated:** January 4, 2016
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 21074 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 505 PARNASSUS AVE # M-361, CAMPUS BOX 0628, San Francisco, CA 94143-2204
- **Phone:** (415) 353-1300 · **Fax:** (415) 353-8570
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Regents Of The University Of California (NPI 1376613943, San Francisco, CA); Ucsf Pediatrics Associates (NPI 1376614016, San Francisco, CA); University Of California San Francisco (NPI 1346329380, San Francisco, CA); Ucsf Medical Group Business Services (NPI 1477624104, San Francisco, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** January 4, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1932565181) · Data from the CMS NPPES public registry.