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BIRHANU Z. ADMASSIE FNP
NPI 1346715307
Nurse Practitioner - Family in Lodi, CA

Active since October 05, 2018PECOS EnrolledAccepts Medicare Assignment
2122 W KETTLEMAN LN, LODI, CA 95242(209) 224-8517 Get Directions Write a Review

NPPES record last updated: October 5, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Birhanu Z. Admassie Fnp NPPES

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

BIRHANU Z. ADMASSIE FNP (NPI 1346715307) is an individual family provider in Lodi, California, licensed in California (95009185) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1346715307
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameBIRHANU Z. ADMASSIECredential: FNP
Location Address2122 W KETTLEMAN LNLodi, CA 95242
Mailing Address4059 Lost Canyon Court, HouseAntioch, CA 94531 · (925) 779-1982
Phone(209) 224-8517
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 5, 2018
✔ NPI 1346715307 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 · 95009185
2122 W KETTLEMAN LN, Lodi, CA 95242
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Secondary Practice Locations 2

Location 14059 lost canyon court, houseAntioch, CA 94531-9453 · Phone (925) 779-1982
Location 22122 W Kettleman LnLodi, CA 95242 · Phone (209) 224-8517

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

Birhanu Z. Admassie Fnp 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 ID7012252562
PECOS Enrollment IDI20190102002739
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 95242 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

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

SHUK MEI CHUNG
Physician Assistant
2122 W KETTLEMAN LN
LODI, CA 95242
San Joaquin County (209) 224-8512

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 Birhanu Admassie's NPI number?

The NPI number for Birhanu Admassie is 1346715307. It was assigned to this individual provider in the NPPES registry on October 5, 2018.

Where is Birhanu Admassie located?

Birhanu Admassie practices at 2122 W Kettleman Ln, Lodi, CA 95242. The listed phone number is (209) 224-8517.

What is Birhanu Admassie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Birhanu Admassie enrolled in Medicare?

Yes. Birhanu Admassie 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.

When was this NPI record last updated?

The NPPES record for Birhanu Admassie was last updated on October 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.