BERNADETTE HYSTAD
NPI 1215329396
Physician Assistant - Surgical in Sacramento, CA

Active since February 26, 2015PECOS Enrolled
2221 STOCKTON BLVD, 2112, SACRAMENTO, CA 95817(916) 734-7255 Get Directions Write a Review

NPPES record last updated: September 9, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bernadette Hystad NPPES

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

BERNADETTE HYSTAD (NPI 1215329396) is an individual surgical provider in Sacramento, California, licensed in California (PA52305) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215329396
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameBERNADETTE HYSTAD
Location Address2221 STOCKTON BLVD, 2112Sacramento, CA 95817-1418
Mailing Address2221 Stockton Blvd, 2112Sacramento, CA 95817-1418 · (916) 734-7255
Sole ProprietorNo
Enumeration DateFebruary 26, 2015
Last NPPES UpdateSeptember 9, 2015
NPI 1215329396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CA · PA52305
2221 STOCKTON BLVD, Sacramento, CA 95817

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Bernadette Hystad 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.

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.

Transplant Surgery
2221 STOCKTON BLVD
SACRAMENTO, CA 95817
Preventive Medicine (Occupational Medicine)
2221 STOCKTON BLVD
SACRAMENTO, CA 95817
Nurse Practitioner (Acute Care)
2221 STOCKTON BLVD
SACRAMENTO, CA 95817
Nurse Practitioner (Family)
2221 STOCKTON BLVD
SACRAMENTO, CA 95817
Plastic Surgery
2221 STOCKTON BLVD
SACRAMENTO, CA 95817
Pharmacist
2221 STOCKTON BLVD, RM 1130
SACRAMENTO, CA 95817
Nurse Practitioner (Family)
2221 STOCKTON BLVD, CYPRESS BUILDING , SUIT E
SACRAMENTO, CA 95817
Surgery
2221 STOCKTON BLVD
SACRAMENTO, CA 95817

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 Bernadette Hystad's NPI number?

The NPI number for Bernadette Hystad is 1215329396. It was assigned to this individual provider in the NPPES registry on February 26, 2015.

Where is Bernadette Hystad located?

Bernadette Hystad practices at 2221 Stockton Blvd 2112, Sacramento, CA 95817. The listed phone number is (916) 734-7255.

What is Bernadette Hystad's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Bernadette Hystad enrolled in Medicare?

Yes. Bernadette Hystad is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bernadette Hystad was last updated on September 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.