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

KAMALJIT KAUR
NPI 1215751185
Nurse Practitioner in Tracy, CA

Active since November 08, 2024PECOS Enrolled
2156 W GRANT LINE RD, TRACY, CA 95377(209) 207-9969 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kamaljit Kaur NPPES

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

KAMALJIT KAUR (NPI 1215751185) is an individual nurse practitioner in Tracy, California, licensed in California (95031763) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1215751185
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKAMALJIT KAUR
Location Address2156 W GRANT LINE RDTracy, CA 95377-7336
Mailing Address1107 Brookhaven LnManteca, CA 95337-8223
Phone(209) 207-9969
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 8, 2024
NPPES CertifiedNovember 8, 2024
✔ NPI 1215751185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95031763
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.
2156 W GRANT LINE RD, Tracy, CA 95377
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)

Kamaljit Kaur is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658850409
PECOS Enrollment IDI20260211001943
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 Reassignment

Medicare enrollment records show Kamaljit Kaur reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Golden Valley Health Center
14 mi
Federally Qualified Health Center (FQHC)
302 NORTHGATE DR
Manteca, CA 95336
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Golden Valley Health Centers
  • 440 clinicians in this Medicare group
NPI 1477020121 (209) 239-5299

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 95377 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.

Other Providers at the Same Location NPPES

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

SATELLITE DIALYSIS OF TRACY LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2156 W GRANT LINE RD, SUITE 150
TRACY, CA 95377
San Joaquin County (209) 832-4899

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 Kamaljit Kaur's NPI number?

The NPI number for Kamaljit Kaur is 1215751185. It was assigned to this individual provider in the NPPES registry on November 8, 2024.

Where is Kamaljit Kaur located?

Kamaljit Kaur practices at 2156 W Grant Line Rd, Tracy, CA 95377. The listed phone number is (209) 207-9969.

What is Kamaljit Kaur's specialty?

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

Is Kamaljit Kaur enrolled in Medicare?

Yes. Kamaljit Kaur is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kamaljit Kaur's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kamaljit Kaur reassigns Medicare benefits to Golden Valley Health Center (Manteca, CA). The 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 Kamaljit Kaur'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 Kamaljit Kaur was last updated on November 8, 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.