KIMBERLY JOY VANYSSELDYK N.P.
NPI 1376769208
Nurse Practitioner - Family in Roseville, CA

Q: What is Kimberly Vanysseldyk's NPI number?

The NPI number for Kimberly Vanysseldyk is 1376769208. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Q: What is Kimberly Vanysseldyk's specialty?

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

Active since April 18, 2007PECOS Enrolled

1 MEDICAL PLAZA DR, BREAST HEALTH CENTER, ROSEVILLE, CA 95661(916) 781-1697 Get Directions Write a Review

NPPES record last updated: December 30, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kimberly Joy Vanysseldyk N.p. NPPES

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

KIMBERLY JOY VANYSSELDYK N.P. (NPI 1376769208) is an individual family provider in Roseville, California, licensed in California (469412) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376769208

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKIMBERLY JOY VANYSSELDYKCredential: N.P.

Location Address1 MEDICAL PLAZA DR, BREAST HEALTH CENTERRoseville, CA 95661-3037

Mailing Address1 Medical Plaza DrRoseville, CA 95661-3037 · (916) 781-1697 · Fax (916) 781-5055

Phone(916) 781-1697

Sole ProprietorNo

Enumeration DateApril 18, 2007

Last NPPES UpdateDecember 30, 2015

✔ NPI 1376769208 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 · 469412

1 MEDICAL PLAZA DR, Roseville, CA 95661

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Joy Vanysseldyk N.p. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95661 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.

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Other Providers at the Same Location NPPES 20

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

IQBAL SINGH GREWAL MD

Student in an Organized Health Care Education/Training Program