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JAFFARDEEP SINGH PANNU
NPI 1265164784
Nurse Practitioner in Sacramento, CA

Active since June 24, 2022PECOS Enrolled
401 S ST, SACRAMENTO, CA 95811(916) 584-7800 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2022, Jul 21, 2022 (2 updates tracked since 2022).

About Jaffardeep Singh Pannu NPPES

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

JAFFARDEEP SINGH PANNU (NPI 1265164784) is an individual nurse practitioner in Sacramento, California, licensed in California (95021352) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265164784
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJAFFARDEEP SINGH PANNU
Location Address401 S STSacramento, CA 95811-6919
Mailing Address401 S StSacramento, CA 95811-6919 · (916) 584-7800
Phone(916) 584-7800
Sole ProprietorYes
Enumeration DateJune 24, 2022
Last NPPES UpdateOctober 11, 20222 updates tracked since enumeration
NPPES CertifiedOctober 11, 2022
✔ NPI 1265164784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95021352
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.
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 95021352 (CA)
401 S ST, Sacramento, CA 95811
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaffardeep Singh Pannu 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 95811 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

MAYRA SEGURA VILLA
Community Health Worker
401 S ST
SACRAMENTO, CA 95811
Sacramento County (916) 584-7800
ANNELISE C AFFONSO
Community Health Worker
401 S ST
SACRAMENTO, CA 95811
Sacramento County (916) 584-7800
ANDREA R VARNER
Counselor
401 S ST
SACRAMENTO, CA 95811
Sacramento County (916) 584-7800
EVETTE LORRAINE YBARRA LCSW
Social Worker
401 S ST
SACRAMENTO, CA 95811
Sacramento County (916) 584-7800
KAILAH BICKLE-MEKATARIAN
Adult Companion
401 S ST
SACRAMENTO, CA 95811
Sacramento County (916) 584-7800
GALYNA TOFAN
Adult Companion
401 S ST
SACRAMENTO, CA 95811
Sacramento County (916) 584-7800
LORIN NICOLE WELCH RADT I
Day Training/Habilitation Specialist
401 S ST
SACRAMENTO, CA 95811
Sacramento County (916) 584-7800
DULCE GOODE
Student in an Organized Health Care Education/Training Program
401 S ST
SACRAMENTO, CA 95811
Sacramento County (209) 712-9416

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 Jaffardeep Pannu's NPI number?

The NPI number for Jaffardeep Pannu is 1265164784. It was assigned to this individual provider in the NPPES registry on June 24, 2022.

Where is Jaffardeep Pannu located?

Jaffardeep Pannu practices at 401 S St, Sacramento, CA 95811. The listed phone number is (916) 584-7800.

What is Jaffardeep Pannu's specialty?

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

Is Jaffardeep Pannu enrolled in Medicare?

Yes. Jaffardeep Pannu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jaffardeep Pannu was last updated on October 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.