Ami Khasakia, FNP - Medicare Nurse Practitioner in Roseville, CA

Ami Khasakia, FNP is a medicare enrolled "Nurse Practitioner - Family" in Roseville, California. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sutter Valley Medical Foundation and her current practice location is 3100 Douglas Blvd, Roseville, California. You can reach out to her office (for appointments etc.) via phone at (916) 774-8300.

Ami Khasakia is licensed to practice in California (license number 95000741) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194131649.

Contact Information

Ami Khasakia, FNP
3100 Douglas Blvd,
Roseville, CA 95661-3866
(916) 774-8300
(916) 774-8327

Map and Direction




Provider's Profile

Full NameAmi Khasakia
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location3100 Douglas Blvd, Roseville, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ami Khasakia graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1194131649
  • Provider Enumeration Date: 07/05/2014
  • Last Update Date: 03/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2961622923
  • Enrollment ID: I20140925002218

Medical Identifiers

Medical identifiers for Ami Khasakia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194131649NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95000741 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sutter Valley Medical Foundation98300945151919

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ami Khasakia allows following entities to bill medicare on her behalf.
Entity NameRocklin Family Practice And Sports Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790798908
PECOS PAC ID: 5395724777
Enrollment ID: O20040719000734
Entity NameSutter Valley Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669846986
PECOS PAC ID: 9830094515
Enrollment ID: O20090311000335

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ami Khasakia is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ami Khasakia, FNP
10470 Old Placerville Rd Ste 100,
Sacramento, CA 95827-2539

Ph: (800) 972-5547
Ami Khasakia, FNP
3100 Douglas Blvd,
Roseville, CA 95661-3866

Ph: (916) 774-8300

Reviews and Comments


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Kimberly S. Newlin, NP
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Practice Location: 1 Medical Plaza Dr, Roseville, CA 95661
Phone: 916-781-1670    Fax: 916-781-1604

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.