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PARDEEP KAUR
NPI 1083332076
Nurse Practitioner - Family in Fremont, CA

Active since August 16, 2022PECOS Enrolled
39500 LIBERTY ST, FREMONT, CA 94538(510) 770-8040 Get Directions Write a Review

NPPES record last updated: August 28, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 28, 2022, Aug 16, 2022 (2 updates tracked since 2022).

About Pardeep Kaur NPPES

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

PARDEEP KAUR (NPI 1083332076) is an individual family provider in Fremont, California, licensed in California (95021494) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083332076
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePARDEEP KAUR
Location Address39500 LIBERTY STFremont, CA 94538-2211
Mailing Address39500 Liberty StFremont, CA 94538-2211 · (510) 770-8040
Phone(510) 770-8040
Sole ProprietorNo
Enumeration DateAugust 16, 2022
Last NPPES UpdateAugust 28, 20222 updates tracked since enumeration
NPPES CertifiedAugust 28, 2022
✔ NPI 1083332076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95021494
39500 LIBERTY ST, Fremont, CA 94538
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pardeep Kaur is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Pardeep Kaur reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geri Connection
419 mi
Family Medicine
15644 POMERADO RD STE 202
Poway, CA 92064
  • Reassigned Medicare billing, California enrollment
  • 71 clinicians in this Medicare group
NPI 1447976907 (855) 839-8878
Myndfull Care California PC
421 mi
Internal Medicine
8445 CAMINO SANTA FE STE 215
San Diego, CA 92121
  • Reassigned Medicare billing, California enrollment
  • 60 clinicians in this Medicare group
NPI 1912699703 (855) 839-8878
Myndfull Care Management California PC
421 mi
Clinic/Center
8445 CAMINO SANTA FE STE 215
San Diego, CA 92121
  • Reassigned Medicare billing, California enrollment
  • 72 clinicians in this Medicare group
NPI 1770206435 (855) 839-8878

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94538 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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.

MS. CYNTHIA TUBIG PINEDA RN
Registered Nurse
39500 LIBERTY ST
FREMONT, CA 94538
Alameda County (510) 770-8040
JACQUELYN DEGRENDELE
Dietitian, Registered
39500 LIBERTY ST
FREMONT, CA 94538
Alameda County (408) 887-0854
KARLA ESPINOSA DE LOS MONTEROS PHD
Psychologist (Clinical)
39500 LIBERTY ST
FREMONT, CA 94538
Alameda County (510) 226-5603
JAN VON DICKEY MD
Family Medicine
39500 LIBERTY ST
FREMONT, CA 94538
Alameda County (510) 252-5887
DR. JOSHUA MCKEEVER PH.D.
Psychologist (Clinical)
39500 LIBERTY ST
FREMONT, CA 94538
Alameda County (267) 328-4561
CYNTHIA SHINCHYI YU NP
Nurse Practitioner
39500 LIBERTY ST
FREMONT, CA 94538
Alameda County (510) 770-8040
BESAN NIDAL ZARO FNP
Nurse Practitioner (Family)
39500 LIBERTY ST
FREMONT, CA 94538
Alameda County (510) 770-8040
MS. JENNIE BRAVO SCHULMAN PAC
Physician Assistant
39500 LIBERTY ST, TRI CITY HEALTH CENTER
FREMONT, CA 94538
Alameda County (510) 770-8133

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 Pardeep Kaur's NPI number?

The NPI number for Pardeep Kaur is 1083332076. It was assigned to this individual provider in the NPPES registry on August 16, 2022.

Where is Pardeep Kaur located?

Pardeep Kaur practices at 39500 Liberty St, Fremont, CA 94538. The listed phone number is (510) 770-8040.

What is Pardeep Kaur's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Pardeep Kaur enrolled in Medicare?

Yes. Pardeep Kaur is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Pardeep Kaur's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pardeep Kaur reassigns Medicare benefits to 3 organizations: Geri Connection (Poway, CA), Myndfull Care California PC (San Diego, CA) and Myndfull Care Management California PC (San Diego, 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 Pardeep Kaur'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 Pardeep Kaur was last updated on August 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.