MRS. LANETTE GRESHAM RN, BSN, MSN, FNP-BC
NPI 1346669074
Nurse Practitioner - Family in Fairfield, CA

Active since April 09, 2014PECOS EnrolledAccepts Medicare Assignment
4918 RIDGEFIELD CIR, FAIRFIELD, CA 94534(707) 290-3048 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Lanette Gresham Rn, Bsn, Msn, Fnp-bc NPPES

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

MRS. LANETTE GRESHAM RN, BSN, MSN, FNP-BC (NPI 1346669074) is an individual family provider in Fairfield, California, licensed in California (2013017795) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1346669074
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. LANETTE GRESHAMCredential: RN, BSN, MSN, FNP-BC
Location Address4918 RIDGEFIELD CIRFairfield, CA 94534-6432
Mailing Address4918 Ridgefield CirFairfield, CA 94534-6432 · (707) 290-3048
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 9, 2014
Last NPPES UpdateJanuary 3, 2022
NPI 1346669074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 2013017795
4918 RIDGEFIELD CIR, Fairfield, CA 94534

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

Mrs. Lanette Gresham Rn, Bsn, Msn, Fnp-bc 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 ID7416271127
PECOS Enrollment IDI20150128000465
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94534 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
$98.85 typical visit price
range $65.02 – $191.95
Typical copayment $24.71 (range $16.25 – $47.98)
Most-billed visit code 99203
Established Patient
$113.05 typical visit price
range $21.86 – $157.69
Typical copayment $28.26 (range $5.46 – $39.42)
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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346669074, enumerated as an "individual" on April 09, 2014.

The provider is located at 4918 RIDGEFIELD CIR FAIRFIELD, CA 94534 and the phone number is (707) 290-3048.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.