PETRICE P. KAM R.N., NP-BC, WCC
NPI 1396967261
Nurse Practitioner - Gerontology in Berkeley, CA

Q: What is Petrice Kam's NPI number?

The NPI number for Petrice Kam is 1396967261. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Q: What is Petrice Kam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Petrice Kam was last updated on July 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since May 02, 2007PECOS EnrolledAccepts Medicare Assignment

1497 ALCATRAZ AVE, BERKELEY, CA 94702(510) 433-1150(510) 844-0132 Get Directions Write a Review

NPPES record last updated: July 15, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Petrice P. Kam R.n., Np-bc, Wcc NPPES

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

PETRICE P. KAM R.N., NP-BC, WCC (NPI 1396967261) is an individual gerontology provider in Berkeley, California, licensed in California (16026) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1396967261

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NamePETRICE P. KAMCredential: R.N., NP-BC, WCC

Location Address1497 ALCATRAZ AVEBerkeley, CA 94702-2710

Mailing Address1194 Carrison StBerkeley, CA 94702-2410 · (510) 549-9312

Phone(510) 433-1150

Fax(510) 844-0132

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateMay 2, 2007

Last NPPES UpdateJuly 15, 2013

✔ NPI 1396967261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in CA · 16026

1497 ALCATRAZ AVE, Berkeley, CA 94702

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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 and accepts Medicare assignment

Petrice P. Kam R.n., Np-bc, Wcc 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 ID7911200480

PECOS Enrollment IDI20241021003407

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 94702 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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 12

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

ALLYCE ESCORCIA

Registered Nurse