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TRACEY IYAMU-SANUSI FNP
NPI 1093087595
Nurse Practitioner - Family in Elk Grove, CA

Active since January 31, 2012PECOS Enrolled
86.35/100
CMS Quality Rating
5040 LAGUNA BLVD, ELK GROVE, CA 95758(866) 389-2727 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 8, 2022, Jul 14, 2022, Jun 20, 2019 and 1 more (4 updates tracked since 2018).

About Tracey Iyamu-sanusi Fnp NPPES

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

TRACEY IYAMU-SANUSI FNP (NPI 1093087595) is an individual family provider in Elk Grove, California, licensed in California (95009824) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Stockton.

NPPES Registry Identity

NPI1093087595
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTRACEY IYAMU-SANUSICredential: FNP
Location Address5040 LAGUNA BLVDElk Grove, CA 95758-4147
Mailing Address1350 Florin RdSacramento, CA 95822-4202 · (866) 389-2727
Phone(866) 389-2727
Sole ProprietorNo
Enumeration DateJanuary 31, 2012
Last NPPES UpdateNovember 8, 20224 updates tracked since enumeration
NPPES CertifiedAugust 4, 2022
✔ NPI 1093087595 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 · 95009824
5040 LAGUNA BLVD, Elk Grove, CA 95758
Open in Google Maps ↗

Secondary Practice Location 1

Location 189 W March LnStockton, CA 95207-5721 · Phone (209) 478-2622

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracey Iyamu-sanusi Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95758 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.

86.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.06
Improvement Activities40
Cost90.15

Other Providers at the Same Location NPPES 4

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

RACHEL C CLAYTOR FNP
Nurse Practitioner (Family)
5040 LAGUNA BLVD
ELK GROVE, CA 95758
Sacramento County (916) 684-6822
LONGS DRUG STORES CALIFORNIA LLC
Pharmacy
5040 LAGUNA BLVD
ELK GROVE, CA 95758
Sacramento County (916) 684-6822
LINH KHANH CAO
Pharmacist
5040 LAGUNA BLVD
ELK GROVE, CA 95758
Sacramento County (916) 684-6822
DR. SWETA KUMAR PHARMD
Pharmacist
5040 LAGUNA BLVD
ELK GROVE, CA 95758
Sacramento County (916) 684-6822

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 Tracey Iyamu-sanusi's NPI number?

The NPI number for Tracey Iyamu-sanusi is 1093087595. It was assigned to this individual provider in the NPPES registry on January 31, 2012.

Where is Tracey Iyamu-sanusi located?

Tracey Iyamu-sanusi practices at 5040 Laguna Blvd, Elk Grove, CA 95758. The listed phone number is (866) 389-2727.

What is Tracey Iyamu-sanusi's specialty?

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

Is Tracey Iyamu-sanusi enrolled in Medicare?

Yes. Tracey Iyamu-sanusi is registered in the Medicare PECOS enrollment system.

What insurance does Tracey Iyamu-sanusi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Tracey Iyamu-sanusi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tracey Iyamu-sanusi was last updated on November 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.