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MRS. CARMEN APRIL SEDGEMAN NP
NPI 1154579290
Nurse Practitioner in Duarte, CA

Active since September 03, 2008PECOS EnrolledAccepts Medicare Assignment
99.12/100
CMS Quality Rating
1500 EAST DUARTE ROAD, DUARTE, CA 91010(626) 256-4673 Get Directions Write a Review

NPPES record last updated: November 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 11, 2020, Mar 23, 2018 (2 updates tracked since 2018).

About Mrs. Carmen April Sedgeman Np NPPES

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

MRS. CARMEN APRIL SEDGEMAN NP (NPI 1154579290) is an individual nurse practitioner in Duarte, California, licensed in California (16646) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1154579290
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. CARMEN APRIL SEDGEMANCredential: NP
Location Address1500 EAST DUARTE ROADDuarte, CA 91010
Mailing AddressPo Box 512185Los Angeles, CA 90051-0185 · (626) 775-3514
Phone(626) 256-4673
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 3, 2008
Last NPPES UpdateNovember 11, 20202 updates tracked since enumeration
NPPES CertifiedNovember 11, 2020
✔ NPI 1154579290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 16646
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 16646 (CA)
1500 EAST DUARTE ROAD, Duarte, CA 91010
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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

Mrs. Carmen April Sedgeman 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 ID7810200086
PECOS Enrollment IDI20150716001656
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 4

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.
303 services252 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
36 services34 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.
24 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91010 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

99.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.23
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

CITY OF HOPE MEDICAL GROUP, INC.
Anesthesiology
1500 EAST DUARTE ROAD
DUARTE, CA 91010
Los Angeles County (626) 471-7213
DR. GREGORY DAVID HENDRIX PHARMD
Pharmacist (Oncology)
1500 EAST DUARTE ROAD
DUARTE, CA 91010
Los Angeles County (626) 359-8111
ALEXANDRA CAPASSO MS
Genetic Counselor, MS
1500 EAST DUARTE ROAD
DUARTE, CA 91010
Los Angeles County (626) 218-2540
JERRY THWIN WONG M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1500 EAST DUARTE ROAD
DUARTE, CA 91010
Los Angeles County (626) 256-4673
MS. ILANA SOLOMON SCM, MA, LCGC
Genetic Counselor, MS
1500 EAST DUARTE ROAD, CITY OF HOPE, DIVISION OF CLINICAL CANCER GENETICS
DUARTE, CA 91010
Los Angeles County (626) 256-8662
CITY OF HOPE
Special Hospital
1500 EAST DUARTE ROAD
DUARTE, CA 91010
Los Angeles County (626) 301-8460
DR. CATHIE T CHUNG M.D.
Internal Medicine (Medical Oncology)
1500 EAST DUARTE ROAD, MACHRIS RM 2128
DUARTE, CA 91010
Los Angeles County (626) 256-4673
DR. JOHN LOUIS RAYTIS M.D.
Anesthesiology
1500 EAST DUARTE ROAD
DUARTE, CA 91010
Los Angeles County (626) 256-4673

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 Carmen Sedgeman's NPI number?

The NPI number for Carmen Sedgeman is 1154579290. It was assigned to this individual provider in the NPPES registry on September 3, 2008.

Where is Carmen Sedgeman located?

Carmen Sedgeman practices at 1500 East Duarte Road, Duarte, CA 91010. The listed phone number is (626) 256-4673.

What is Carmen Sedgeman's specialty?

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

Is Carmen Sedgeman enrolled in Medicare?

Yes. Carmen Sedgeman 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 Carmen Sedgeman was last updated on November 11, 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.