KIM ANICETE NP
NPI 1023596400
Nurse Practitioner - Family in Vacaville, CA
About Kim Anicete Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIM ANICETE NP (NPI 1023596400) is an individual family provider in Vacaville, California, licensed in California (95009554) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kim Anicete Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Kim Anicete reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Vacaville, CA 95687
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Northbay Physicians Surgery Center, LLC
- 516 clinicians in this Medicare group
Fairfield, CA 94534
- Reassigned Medicare billing, California enrollment
- 225 clinicians in this Medicare group
Laguna Hills, CA 92656
- Reassigned Medicare billing, California enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95688 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VACAVILLE, CA 95688
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kim Anicete's NPI number?
The NPI number for Kim Anicete is 1023596400. It was assigned to this individual provider in the NPPES registry on July 30, 2018.
Where is Kim Anicete located?
Kim Anicete practices at 1679 E Monte Vista Ave Ste 104, Vacaville, CA 95688. The listed phone number is (707) 624-7400.
What is Kim Anicete's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kim Anicete enrolled in Medicare?
Yes. Kim Anicete is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kim Anicete's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kim Anicete reassigns Medicare benefits to 3 organizations: Northbay Healthcare Group (Vacaville, CA), Northbay Health Medical Foundation (Fairfield, CA) and Nellie Gail Urgent Care Medical Corp (Laguna Hills, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kim Anicete's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kim Anicete was last updated on November 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kim Anicete, NP · NPI 1023596400
Family physician in Vacaville, California. Individual provider, active in the CMS NPPES registry since July 30, 2018.
## Identity
- **NPI:** 1023596400 (Entity type: Individual)
- **Enumerated:** July 30, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95009554 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1679 E MONTE VISTA AVE STE 104, Vacaville, CA 95688-3123
- **Phone:** (707) 624-7400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Northbay Healthcare Group (NPI 1255483202, Vacaville, CA); Northbay Health Medical Foundation (NPI 1760283527, Fairfield, CA); Nellie Gail Urgent Care Medical Corp (NPI 1073909859, Laguna Hills, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** November 17, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1023596400) · Data from the CMS NPPES public registry.