Unknown Individual – Family Nurse Practitioner, NPI 1851408025
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
3800 Dale Rd
Modesto, CA 953568627
Phone: (209) 735-4100
Fax: (209) 735-4124
Type: Location
406, California Street, The Homestead, Stockton, San Joaquin County, California, 95202, United States
STOCKTON, CA 952046033
Phone: (209) 227-7806
Fax: (209) 851-3853
Type: Location
1156, Northwood Drive, Lodi, San Joaquin County, California, 95240, United States
LODI, CA 952400443
Phone: (209) 423-4074
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $82.
Total Amount is formed as General ($82) + Research ($0) + Ownership ($0) = $82.
Last reported payment date: 2023-05-24 • Largest payer in this snapshot: ABBVIE INC. ($82).
Total Amount
$82
General + Research + Ownership
Payments
4
Total payment records
General Amount
$82
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $82 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 39 | 38 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 30 | 30 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 14 | 14 | $0 |
Insurance plans in this area (ZIP 95356)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NJ | |
| - | CA | |
| - | CA | |
| - | IN | |
| - | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| - | CA |
Reviews
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