KHATERE NADERI-ASHOUR AGNP
NPI 1295446078
Nurse Practitioner in Irvine, CA

Active since December 12, 2022PECOS EnrolledAccepts Medicare Assignment
113 WATERWORKS WAY STE 155, IRVINE, CA 92618(949) 612-9090(949) 612-9091 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Khatere Naderi-ashour Agnp NPPES

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

KHATERE NADERI-ASHOUR AGNP (NPI 1295446078) is an individual nurse practitioner in Irvine, California, licensed in California (95022144) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1295446078
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKHATERE NADERI-ASHOURCredential: AGNP
Location Address113 WATERWORKS WAY STE 155Irvine, CA 92618-3163
Mailing Address113 Waterworks Way Ste 155Irvine, CA 92618-3163 · (949) 612-9090 · Fax (949) 612-9091
Fax(949) 612-9091
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 12, 2022
Last NPPES UpdateFebruary 1, 2024
NPPES CertifiedFebruary 1, 2024
NPI 1295446078 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 · 95022144
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.

113 WATERWORKS WAY STE 155, Irvine, CA 92618

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Khatere Naderi-ashour Agnp 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 ID446694616
PECOS Enrollment IDI20240215001010
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 92618 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 8

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

Physician Assistant
113 WATERWORKS WAY STE 155
IRVINE, CA 92618
Internal Medicine (Gastroenterology)
113 WATERWORKS WAY STE 155
IRVINE, CA 92618
Internal Medicine (Gastroenterology)
113 WATERWORKS WAY STE 155
IRVINE, CA 92618
Internal Medicine (Gastroenterology)
113 WATERWORKS WAY STE 155
IRVINE, CA 92618
Nurse Practitioner (Family)
113 WATERWORKS WAY STE 155
IRVINE, CA 92618
Naturopath
113 WATERWORKS WAY STE 155
IRVINE, CA 92618
Nurse Practitioner
113 WATERWORKS WAY STE 155
IRVINE, CA 92618
Physician Assistant
113 WATERWORKS WAY STE 155
IRVINE, CA 92618

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295446078, enumerated as an "individual" on December 12, 2022.

The provider is located at 113 WATERWORKS WAY STE 155 IRVINE, CA 92618 and the phone number is (949) 612-9090.

Nurse Practitioner with taxonomy code 363L00000X.