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SUPREET KAUR
NPI 1245060185
Nurse Anesthetist, Certified Registered in Vallejo, CA

Active since August 06, 2024Accepts Medicare Assignment
975 SERENO DR, VALLEJO, CA 94589(707) 651-1000 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 10, 2025, Aug 6, 2024 (2 updates tracked since 2024).

About Supreet Kaur NPPES

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

SUPREET KAUR (NPI 1245060185) is an individual nurse anesthetist, certified registered in Vallejo, California, licensed in California (95002499) and active in the NPI registry since August 2024. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1245060185
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameSUPREET KAUR
Location Address975 SERENO DRVallejo, CA 94589-2441
Mailing Address1982 Hummingbird DrFairfield, CA 94534-6694 · (707) 416-1935
Phone(707) 651-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 6, 2024
Last NPPES UpdateDecember 10, 20252 updates tracked since enumeration
NPPES CertifiedDecember 10, 2025
✔ NPI 1245060185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in CA · 95002499
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
975 SERENO DR, Vallejo, CA 94589
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Supreet Kaur 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 ID6608358015
PECOS Enrollment IDI20260304004169

Medicare Billing Reassignment

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

Cep America - Anesthesia, PC
19 mi
Anesthesiology
1601 YGNACIO VALLEY RD
Walnut Creek, CA 94598
  • Reassigned Medicare billing, California enrollment
  • 833 clinicians in this Medicare group
NPI 1790401438 (925) 939-3000

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 94589 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
$145.83 typical visit price
range $65.02 – $191.95
Typical copayment $36.45 (range $16.25 – $47.98)
Most-billed visit code 99204
Established Patient
$80.24 typical visit price
range $21.86 – $157.69
Typical copayment $20.06 (range $5.46 – $39.42)
Most-billed visit code 99213
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.

DR. ROBERTA YIWUN WANG M.D.
Physical Medicine & Rehabilitation
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-5128
RIHONG ZHOU
Pharmacist
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-2072
EVAN HIRSCHBEIN
Student in an Organized Health Care Education/Training Program
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 339-2074
MS. JEAN BROADNAX LCSW
Social Worker (Clinical)
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-4423
SEAN NISAM
Student in an Organized Health Care Education/Training Program
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-4071
LI M. TSANG MD
Anesthesiology
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-1000
DONN R. ERICKSON MD
Family Medicine
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-1000
JOHN S. WOOD MD
Surgery
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-1000

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 Supreet Kaur's NPI number?

The NPI number for Supreet Kaur is 1245060185. It was assigned to this individual provider in the NPPES registry on August 6, 2024.

Where is Supreet Kaur located?

Supreet Kaur practices at 975 Sereno Dr, Vallejo, CA 94589. The listed phone number is (707) 651-1000.

What is Supreet Kaur's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Supreet Kaur enrolled in Medicare?

Yes. Supreet Kaur 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.

Which organization bills Medicare for Supreet Kaur's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Supreet Kaur reassigns Medicare benefits to Cep America - Anesthesia, PC (Walnut Creek, 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 Supreet 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 Supreet Kaur was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.