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MR. IWAN SUTANA MBA, MSN, AGACNP-BC
NPI 1194250670
Nurse Practitioner - Acute Care in Palo Alto, CA

Active since April 21, 2017PECOS Enrolled
300 PASTEUR DR, PALO ALTO, CA 94305(650) 723-2091 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 28, 2021, Mar 17, 2018, Jan 16, 2018 and 2 more (5 updates tracked since 2017).

About Mr. Iwan Sutana Mba, Msn, Agacnp-bc NPPES

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

MR. IWAN SUTANA MBA, MSN, AGACNP-BC (NPI 1194250670) is an individual acute care provider in Palo Alto, California, licensed in California (95007809) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194250670
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. IWAN SUTANACredential: MBA, MSN, AGACNP-BC
Location Address300 PASTEUR DRPalo Alto, CA 94305-2200
Mailing Address300 Pasteur DrStanford, CA 94305-2200 · (650) 723-4000
Phone(650) 723-2091
Sole ProprietorNo
Enumeration DateApril 21, 2017
Last NPPES UpdateDecember 28, 20215 updates tracked since enumeration
✔ NPI 1194250670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CA · 95007809
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 695922 (CA)
Also ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X · License 71519 (CA)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 95007809 (CA)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 95007809 (CA)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 95007809 (CA)
300 PASTEUR DR, Palo Alto, CA 94305
Open in Google Maps ↗

Other Identifiers 3

Other695922CA · Ca Brn
Other95007809CA · California Board Of Registered Nursing
Other71519CA · California Board Of Registered Nursing

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Iwan Sutana Mba, Msn, Agacnp-bc 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 94305 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

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.

PRISTA CHARUWORN MD
Internal Medicine (Gastroenterology)
300 PASTEUR DR, ALWAY BUILD M211, MC 5187
STANFORD, CA 94305
Santa Clara County (650) 723-6661
ANDREW CHARLES PICEL M.D
Radiology (Vascular & Interventional Radiology)
300 PASTEUR DR
STANFORD, CA 94305
Santa Clara County (650) 723-4000
MATTHEW A WRIGHT M.D. PH.D.
Psychiatry & Neurology (Psychiatry)
300 PASTEUR DR
STANFORD, CA 94305
Santa Clara County (650) 723-4000
DR. QUAZI ZUBAIR AL-TARIQ M.D.
Radiology (Diagnostic Radiology)
300 PASTEUR DR
STANFORD, CA 94305
Santa Clara County (650) 723-4000
ANGIE DEE MURKINS NP
Nurse Practitioner
300 PASTEUR DR
STANFORD, CA 94305
Santa Clara County (650) 723-4000
DR. JAMSHID GHAJAR MD PHD
Neurological Surgery
300 PASTEUR DR
STANFORD, CA 94305
Santa Clara County (650) 723-4000
SARA BAKHTARY M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
300 PASTEUR DR, LANE 235
STANFORD, CA 94305
Santa Clara County (650) 723-5252
YU KUANG LAI MD
Internal Medicine (Critical Care Medicine)
300 PASTEUR DR
STANFORD, CA 94305
Santa Clara County (650) 723-4000

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 Iwan Sutana's NPI number?

The NPI number for Iwan Sutana is 1194250670. It was assigned to this individual provider in the NPPES registry on April 21, 2017.

Where is Iwan Sutana located?

Iwan Sutana practices at 300 Pasteur Dr, Palo Alto, CA 94305. The listed phone number is (650) 723-2091.

What is Iwan Sutana's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Iwan Sutana enrolled in Medicare?

Yes. Iwan Sutana is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Iwan Sutana was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.