1. Home
  2. Directory
  3. California
  4. Fresno
  5. Nurse Practitioner
  6. NPI Profile

AMBREEN JESSICA KHAN NP
NPI 1164247672
Nurse Practitioner - Family in Fresno, CA

Active since November 19, 2024PECOS Enrolled
7035 N MAPLE AVE STE 102A, FRESNO, CA 93720(559) 299-2997 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ambreen Jessica Khan Np NPPES

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

AMBREEN JESSICA KHAN NP (NPI 1164247672) is an individual family provider in Fresno, California, licensed in California (95031529) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164247672
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMBREEN JESSICA KHANCredential: NP
Location Address7035 N MAPLE AVE STE 102AFresno, CA 93720-8026
Mailing Address3723 Horizons Ave Apt BMerced, CA 95348-9575 · (650) 436-9922
Phone(559) 299-2997
Sole ProprietorYes
Enumeration DateNovember 19, 2024
NPPES CertifiedNovember 19, 2024
✔ NPI 1164247672 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 · 95031529
7035 N MAPLE AVE STE 102A, Fresno, CA 93720
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ambreen Jessica Khan Np 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

2

Medicare enrollment records show Ambreen Khan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dominic Dizon, Medical Corporation
Same address
Internal Medicine
7035 N MAPLE AVE STE 102B
Fresno, CA 93720
  • Reassigned Medicare billing, California enrollment
  • 14 clinicians in this Medicare group
NPI 1023669942 (559) 299-2997
Golden Valley Health Center
39 mi
Federally Qualified Health Center (FQHC)
13161 JEFFERSON ST
Le Grand, CA 95333
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Golden Valley Health Centers
  • 440 clinicians in this Medicare group
NPI 1356325310 (209) 389-1900

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 93720 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

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 Ambreen Khan's NPI number?

The NPI number for Ambreen Khan is 1164247672. It was assigned to this individual provider in the NPPES registry on November 19, 2024.

Where is Ambreen Khan located?

Ambreen Khan practices at 7035 N Maple Ave Ste 102A, Fresno, CA 93720. The listed phone number is (559) 299-2997.

What is Ambreen Khan's specialty?

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

Is Ambreen Khan enrolled in Medicare?

Yes. Ambreen Khan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ambreen Khan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ambreen Khan reassigns Medicare benefits to 2 organizations: Dominic Dizon, Medical Corporation (Fresno, CA) and Golden Valley Health Center (Le Grand, 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 Ambreen Khan'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 Ambreen Khan was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.