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, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Keith Judelman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Olympia, WA 98512
- Reassigned Medicare billing, Washington enrollment
- 4,383 clinicians in this Medicare group
Seattle, WA 98118
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: Seattle Childrens Hospital
- 912 clinicians in this Medicare group
Seattle, WA 98144
- Reassigned Medicare billing, Washington enrollment
- 53 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.
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.
Which organizations bill Medicare for Keith Judelman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keith Judelman reassigns Medicare benefits to 3 organizations: Multicare Health System (Olympia, WA), Seattle Children's Hospital (Seattle, WA) and Seattle Indian Health Board (Seattle, WA). 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 Keith Judelman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Keith Judelman accept?
Health plans from Ambetter Health, 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
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Multicare Health System (NPI 1831609775, Olympia, WA); Seattle Children's Hospital (NPI 1134251747, Seattle, WA); Seattle Indian Health Board (NPI 1316012461, Seattle, WA) · CMS Revalidation Reassignment List, October 2026 release
- **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.