KAEWCHAI YUDANG FNP
NPI 1306051131
Nurse Practitioner - Obstetrics & Gynecology in Modesto, CA

Q: What is Kaewchai Yudang's NPI number?

The NPI number for Kaewchai Yudang is 1306051131. It was assigned to this individual provider in the NPPES registry on May 14, 2007. The provider is also known as Kitty Puktarasiri.

Q: What is Kaewchai Yudang's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Q: When was this NPI record last updated?

The NPPES record for Kaewchai Yudang was last updated on June 14, 2023. 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.

Active since May 14, 2007PECOS Enrolled

1500 FLORIDA AVE, MODESTO, CA 95350(209) 722-4842 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Kaewchai Yudang Fnp NPPES

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

KAEWCHAI YUDANG FNP (NPI 1306051131) is an individual obstetrics & gynecology provider in Modesto, California, licensed in California (10549) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306051131

Entity TypeIndividualFemale

Primary Taxonomy363LX0001X

Provider Legal NameKAEWCHAI YUDANGCredential: FNP

Location Address1500 FLORIDA AVEModesto, CA 95350-4408

Mailing Address737 W Childs AveMerced, CA 95341-6805 · (209) 722-4842

Phone(209) 722-4842

Sole ProprietorNo

Enumeration DateMay 14, 2007

Last NPPES UpdateJune 14, 2023

NPPES CertifiedJune 14, 2023

✔ NPI 1306051131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LX0001X

License✔ Licensed in CA · 10549

Also ListedNurse PractitionerTaxonomy 363L00000X · License 10549 (CA)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 10549 (CA)

1500 FLORIDA AVE, Modesto, CA 95350

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Other Names 1

Other Name (5)Kitty Puktarasiri

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaewchai Yudang Fnp 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.

Medicare Billing Reassignments

Medicare enrollment records show Kaewchai Yudang reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Golden Valley Health Center

Same address

Federally Qualified Health Center (FQHC)

1500 FLORIDA AVE
Modesto, CA 95350

Reassigned Medicare billing, California enrollment
Medicare enrollment name: Golden Valley Health Centers
440 clinicians in this Medicare group

NPI 1467171314 (866) 682-4842

Permanente Medical Group Inc

29 mi

Internal Medicine

7373 WEST LANE
Stockton, CA 95210

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1548343510 (209) 476-2000

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 95350 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 12

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

MALISSA HALLAHAN

Nurse Practitioner