ELISSA KU NP
NPI 1083126460
Nurse Practitioner in Citrus Heights, CA

Active since October 25, 2017PECOS EnrolledAccepts Medicare Assignment
96.5/100
CMS Quality Rating
7115 GREENBACK LN, FL 2, CITRUS HEIGHTS, CA 95621(916) 536-3620(916) 536-3541 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 4, 2025, Apr 6, 2022, Oct 26, 2017 (3 updates tracked since 2017).

About Elissa Ku Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELISSA KU NP (NPI 1083126460) is an individual nurse practitioner in Citrus Heights, California, licensed in California (95007844) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1083126460
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameELISSA KUCredential: NP
Location Address7115 GREENBACK LN, FL 2Citrus Heights, CA 95621-6133
Mailing Address3400 Data DrRancho Cordova, CA 95670-7956
Fax(916) 536-3541
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 25, 2017
Last NPPES UpdateMarch 4, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2025
NPI 1083126460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CA · 95007844
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

7115 GREENBACK LN, Citrus Heights, CA 95621

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Elissa Ku 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.

PECOS PAC ID648537829
PECOS Enrollment IDI20171122002698
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
39 services27 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services20 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95621 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.34
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier12 claims12 services$26.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
7115 GREENBACK LN, FL2
CITRUS HEIGHTS, CA 95621
Nurse Practitioner
7115 GREENBACK LN, FL2
CITRUS HEIGHTS, CA 95621
Nurse Practitioner (Family)
7115 GREENBACK LN, FL1
CITRUS HEIGHTS, CA 95621
Psychiatry & Neurology (Psychiatry)
7115 GREENBACK LN, FL1
CITRUS HEIGHTS, CA 95621
Nurse Practitioner (Acute Care)
7115 GREENBACK LN, FL 2
CITRUS HEIGHTS, CA 95621
Marriage & Family Therapist
7115 GREENBACK LN, FL 1
CITRUS HEIGHTS, CA 95621
Internal Medicine
7115 GREENBACK LN, FL 2
CITRUS HEIGHTS, CA 95621
Physician Assistant
7115 GREENBACK LN, FL 2
CITRUS HEIGHTS, CA 95621

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 Elissa Ku's NPI number?

The NPI number for Elissa Ku is 1083126460. It was assigned to this individual provider in the NPPES registry on October 25, 2017.

Where is Elissa Ku located?

Elissa Ku practices at 7115 Greenback Ln Fl 2, Citrus Heights, CA 95621. The listed phone number is (916) 536-3620.

What is Elissa Ku's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Elissa Ku enrolled in Medicare?

Yes. Elissa Ku 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.

When was this NPI record last updated?

The NPPES record for Elissa Ku was last updated on March 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.