LINDSEY DIANE KOPPERUD (NP,PHN, BSN, ANP-BC) – Nurse Practitioner, NPI 1992036339
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Provider Addresses for LINDSEY DIANE KOPPERUD (NP,PHN, BSN, ANP-BC)
5151 F St
Sacramento, CA 958193223
Phone: (530) 521-7740
Type: Location
500 University Ave Ste 250
Sacramento, CA 958256525
Phone: (916) 680-9510
Type: Location
2315 STOCKTON BLVD
SACRAMENTO, CA 958172201
Phone: (916) 734-2011
Type: Location
4805 POLO CT
FAIR OAKS, CA 956285266
Phone: (530) 521-7740
Type: Mailing
University Avenue, Sacramento, Sacramento County, California, 95819-6055, United States
SACRAMENTO, CA 958256525
Phone: (916) 680-9510
Type: Location
3521, D Street, Elvas, East Sacramento, Sacramento, Sacramento County, California, 95816, United States
SACRAMENTO, CA 958163411
Phone: (530) 521-7740
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $136.
Total Amount is formed as General ($136) + Research ($0) + Ownership ($0) = $136.
Last reported payment date: 2023-10-03 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($136).
Total Amount
$136
General + Research + Ownership
Payments
1
Total payment records
General Amount
$136
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $136 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-05-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160525002579 | I | Nurse Practitioner | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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 |
|---|---|---|---|---|
| 93016 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician | 27 | 27 | $0 |
Insurance plans in this area (ZIP 95819)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NY | |
| - | PA | |
| - | CA | |
| Certified Registered Nurse Anesthetist (Crna) | CA | |
| Physician Assistant | IL | |
| Internal Medicine, Hospice/Palliative Care | CA | |
| Family Practice | CA | |
| - | CA | |
| - | CA | |
| - | CA |
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