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CAROL LI
NPI 1942617717
Internal Medicine - Hospice and Palliative Medicine in Petaluma, CA

Active since July 14, 2014PECOS Enrolled
416 PAYRAN ST, PETALUMA, CA 94952(707) 778-6242 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 5, 2025, Jun 12, 2018, Feb 25, 2016 (3 updates tracked since 2016).

About Carol Li NPPES

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

CAROL LI (NPI 1942617717) is an individual hospice and palliative medicine provider in Petaluma, California, licensed in California (20A22657) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942617717
Entity TypeIndividualFemale
Primary Taxonomy207RH0002X
Provider Legal NameCAROL LI
Location Address416 PAYRAN STPetaluma, CA 94952-5907
Mailing Address416 Payran StPetaluma, CA 94952-5907 · (707) 778-6242
Phone(707) 778-6242
Sole ProprietorYes
Enumeration DateJuly 14, 2014
Last NPPES UpdateJune 5, 20253 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
✔ NPI 1942617717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
Licenses✔ Licensed in CA · 20A22657✔ Licensed in FL · OS13851
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
416 PAYRAN ST, Petaluma, CA 94952
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carol Li 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.

Medicare Billing Reassignment

Medicare enrollment records show Carol Li reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St. Joseph Home Care Network
Same address
Hospice Care, Community Based
416 PAYRAN ST
Petaluma, CA 94952
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1174065809 (707) 778-6242

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

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

ST. JOSEPH HOME CARE NETWORK
Hospice Care, Community Based
416 PAYRAN ST
PETALUMA, CA 94952
Sonoma County (707) 778-6242
DR. SCOTT W. EBERLE M.D.
Family Medicine
416 PAYRAN ST
PETALUMA, CA 94952
Sonoma County (707) 778-6242
CP SONOMA N-CA HOSPICE, LLC
Hospice Care, Community Based
416 PAYRAN ST
PETALUMA, CA 94952
Sonoma County (707) 778-6242

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 Carol Li's NPI number?

The NPI number for Carol Li is 1942617717. It was assigned to this individual provider in the NPPES registry on July 14, 2014.

Where is Carol Li located?

Carol Li practices at 416 Payran St, Petaluma, CA 94952. The listed phone number is (707) 778-6242.

What is Carol Li's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Carol Li enrolled in Medicare?

Yes. Carol Li is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carol Li's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carol Li reassigns Medicare benefits to St. Joseph Home Care Network (Petaluma, CA). The 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 Carol Li'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 Carol Li was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.