1. Home
  2. Directory
  3. California
  4. Sacramento
  5. Nurse Practitioner
  6. NPI Profile

KENA YADETA
NPI 1548022338
Nurse Practitioner - Family in Sacramento, CA

Active since January 26, 2024PECOS Enrolled
3835 N FREEWAY BLVD, SACRAMENTO, CA 95834(888) 345-4666 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kena Yadeta NPPES

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

KENA YADETA (NPI 1548022338) is an individual family provider in Sacramento, California, licensed in California (95027582) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548022338
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameKENA YADETA
Location Address3835 N FREEWAY BLVDSacramento, CA 95834-1928
Mailing Address3835 N Freeway BlvdSacramento, CA 95834-1928
Phone(888) 345-4666
Sole ProprietorNo
Enumeration DateJanuary 26, 2024
NPPES CertifiedJanuary 26, 2024
✔ NPI 1548022338 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 · 95027582
3835 N FREEWAY BLVD, Sacramento, CA 95834
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kena Yadeta 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 Kena Yadeta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Golden Valley Health Center
58 mi
Federally Qualified Health Center (FQHC)
302 NORTHGATE DR
Manteca, CA 95336
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Golden Valley Health Centers
  • 440 clinicians in this Medicare group
NPI 1477020121 (209) 239-5299

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 95834 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.

Other Providers at the Same Location NPPES 2

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

MARK DAVID LEVINE M.D. PROFESSIONAL CORPORATION
Psychiatry & Neurology (Psychiatry)
3835 N FREEWAY BLVD, STE100
SACRAMENTO, CA 95834
Sacramento County (916) 576-7898
DR. MARK DAVID LEVINE M.D.
Psychiatry & Neurology (Psychiatry)
3835 N FREEWAY BLVD, SUITE 100
SACRAMENTO, CA 95834
Sacramento County (916) 576-7898

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 Kena Yadeta's NPI number?

The NPI number for Kena Yadeta is 1548022338. It was assigned to this individual provider in the NPPES registry on January 26, 2024.

Where is Kena Yadeta located?

Kena Yadeta practices at 3835 N Freeway Blvd, Sacramento, CA 95834. The listed phone number is (888) 345-4666.

What is Kena Yadeta's specialty?

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

Is Kena Yadeta enrolled in Medicare?

Yes. Kena Yadeta is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kena Yadeta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kena Yadeta reassigns Medicare benefits to Golden Valley Health Center (Manteca, 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 Kena Yadeta'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 Kena Yadeta was last updated on January 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.