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KIMBERLY RUDNICKI NP
NPI 1376110882
Nurse Practitioner - Family in El Dorado Hills, CA

Active since June 04, 2021PECOS Enrolled
100/100
CMS Quality Rating
1216 SUNCAST LN STE 1, EL DORADO HILLS, CA 95762(916) 292-9777 Get Directions Write a Review

NPPES record last updated: June 4, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kimberly Rudnicki Np NPPES

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

KIMBERLY RUDNICKI NP (NPI 1376110882) is an individual family provider in El Dorado Hills, California, licensed in California (95017201) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376110882
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY RUDNICKICredential: NP
Location Address1216 SUNCAST LN STE 1El Dorado Hills, CA 95762-9668
Mailing Address1769 Canberra PlEl Dorado Hills, CA 95762-5362 · (916) 216-4956
Phone(916) 292-9777
Sole ProprietorNo
Enumeration DateJune 4, 2021
NPPES CertifiedMay 3, 2021
✔ NPI 1376110882 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 · 95017201
1216 SUNCAST LN STE 1, El Dorado Hills, CA 95762
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Rudnicki Np 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 Kimberly Rudnicki reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mimi K. Sato-Re, MD Medical Corporation
5.2 mi
Primary Care
1600 CREEKSIDE DR, SUITE 3300
Folsom, CA 95630
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Mimi K Sato-Re M D Medical Corporation
  • 2 clinicians in this Medicare group
NPI 1699945063 (916) 983-7200

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 95762 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40

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 Kimberly Rudnicki's NPI number?

The NPI number for Kimberly Rudnicki is 1376110882. It was assigned to this individual provider in the NPPES registry on June 4, 2021.

Where is Kimberly Rudnicki located?

Kimberly Rudnicki practices at 1216 Suncast Ln Ste 1, El Dorado Hills, CA 95762. The listed phone number is (916) 292-9777.

What is Kimberly Rudnicki's specialty?

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

Is Kimberly Rudnicki enrolled in Medicare?

Yes. Kimberly Rudnicki is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Rudnicki's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Rudnicki reassigns Medicare benefits to Mimi K. Sato-Re, MD Medical Corporation (Folsom, 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 Kimberly Rudnicki'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 Kimberly Rudnicki was last updated on June 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.