MR. KEITH MICHAEL JUDELMAN FNP, RN, EAMP
NPI 1104134386
Nurse Practitioner - Family in Sacramento, CA
About Mr. Keith Michael Judelman Fnp, Rn, Eamp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KEITH MICHAEL JUDELMAN FNP, RN, EAMP (NPI 1104134386) is an individual family provider in Sacramento, California, licensed in Washington (AP60995298) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Seattle, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
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
Mr. Keith Michael Judelman Fnp, Rn, Eamp 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95811 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Keith Judelman's NPI number?
The NPI number for Keith Judelman is 1104134386. It was assigned to this individual provider in the NPPES registry on September 21, 2010.
Where is Keith Judelman located?
Keith Judelman practices at 1500 21st St, Sacramento, CA 95811. The listed phone number is (916) 443-3299.
What is Keith Judelman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Keith Judelman enrolled in Medicare?
Yes. Keith Judelman 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.
What insurance does Keith Judelman accept?
Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Keith Judelman 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 Keith Judelman was last updated on December 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mr. Keith Michael Judelman, FNP, RN, EAMP · NPI 1104134386
Family physician in Sacramento, California. Individual provider, active in the CMS NPPES registry since September 21, 2010.
## Identity
- **NPI:** 1104134386 (Entity type: Individual)
- **Enumerated:** September 21, 2010
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP60995298 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 21ST ST, Sacramento, CA 95811
- **Phone:** (916) 443-3299
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** December 17, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1104134386) · Data from the CMS NPPES public registry.