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

Active since October 05, 2018PECOS Enrolled
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: November 01, 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 and maintains 2 additional practice locations.

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
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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Birhanu Z. Admassie 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 Reassignment

Medicare enrollment records show Birhanu Admassie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

California Urgent Care Center Professional Corporation
7.2 mi
Urgent Care
8001 LORRAINE AVE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 7 clinicians in this Medicare group
NPI 1588959084 (209) 472-7400

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 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 enrollment system.

Which organization bills Medicare for Birhanu Admassie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Birhanu Admassie reassigns Medicare benefits to California Urgent Care Center Professional Corporation (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Birhanu Admassie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 8 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.