Mr. Dane Arthur Shoemaker, NP

Individual provider Acute Care Nurse Practitioner · NPI 1568713675

Mr. Dane Arthur Shoemaker, NP is a Nurse Practitioner in Petaluma, California. Qualified in 2012, 14 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying: 14
Licensed in: CA
In the registry since: 2012

What do these letters mean?

NP — Nurse Practitioner: An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1179 N McDowell Blvd
Petaluma, CA 94954
Phone: (707) 559-7500
Fax: (707) 559-7620

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

1179 N McDowell Blvd, Petaluma, CA 94954 — (707) 559-7500
5900 State Farm Dr Ste 200, Rohnert Park, CA 94928-2149 — (707) 559-7600
500 Doyle Park Dr Ste G04, Santa Rosa, CA 95405-4559 — (707) 303-8349

Specialties & licences

Acute Care Nurse Practitioner (primary)	Taxonomy 363LA2100X · Licence 22212 (CA)

Record details

NPI number	1568713675
Entity type	Individual (Type 1)
Gender	Male
Credentials	NP
Sole proprietor	No
NPI enumerated	September 28, 2012
Last updated in NPPES	November 10, 2021
Certification date	November 10, 2021
Mailing address	1179 N McDowell Blvd, Petaluma, CA 94954-6559

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	NURSE PRACTITIONER
Medical school	OTHER
Graduated	2012 (14 years in practice)
Group practice	Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount
Telehealth	Offers telehealth services