Lindsey Diane Kopperud, NP,PHN, BSN, ANP-BC - Medicare Nurse Practitioner in Sacramento, CA

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Lindsey Diane Kopperud, NP,PHN, BSN, ANP-BC is a medicare enrolled "Nurse Practitioner" in Sacramento, California. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Regents Of The Univ Of Ca and her current practice location is 2315 Stockton Blvd, Sacramento, California. You can reach out to her office (for appointments etc.) via phone at (916) 734-2011.

Lindsey Diane Kopperud is licensed to practice in California (license number 653636) 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 1992036339.

Contact Information

Lindsey Diane Kopperud, NP,PHN, BSN, ANP-BC
2315 Stockton Blvd,
Sacramento, CA 95817-2201
(916) 734-2011
Not Available

Map and Direction




Provider's Profile

Full NameLindsey Diane Kopperud
GenderFemale
SpecialityNurse Practitioner
Experience13 Years
Location2315 Stockton Blvd, Sacramento, 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:
  • Lindsey Diane Kopperud graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1992036339
  • Provider Enumeration Date: 01/25/2010
  • Last Update Date: 01/14/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7012228349
  • Enrollment ID: I20160525002579

Medical Identifiers

Medical identifiers for Lindsey Diane Kopperud such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992036339NPI-NPPES
653636OtherCAREGISTERED NURSE LICENSURE
20898OtherCACERTIFIED ADULT NURSE PRACTITIONER
3634OtherCACERTIFIED CLINICAL NURSE SPECIALIST

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 10898 (California)Secondary
363L00000XNurse Practitioner 653636 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of California Davis Medical CenterSacramento, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Regents Of The Univ Of Ca33754566191360

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. Lindsey Diane Kopperud allows following entities to bill medicare on her behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710
Entity NameRegents Of The Univ Of Ca
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013906973
PECOS PAC ID: 3375456619
Enrollment ID: O20031111000892
Entity NameVascular Institute Of Northern California A Podiatry Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932691797
PECOS PAC ID: 5698024222
Enrollment ID: O20180815002153

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. Lindsey Diane Kopperud 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
Lindsey Diane Kopperud, NP,PHN, BSN, ANP-BC
4805 Polo Ct,
Fair Oaks, CA 95628-5266

Ph: (530) 521-7740		Lindsey Diane Kopperud, NP,PHN, BSN, ANP-BC
2315 Stockton Blvd,
Sacramento, CA 95817-2201

Ph: (916) 734-2011

Reviews and Comments


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Ashena Varani, NP
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Phone: 916-488-6200    Fax: 916-488-6300

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.