BETH SEGERHOLM DNP, FNP-BC
NPI 1548734536
Nurse Practitioner - Family in Newport Beach, CA

Q: What is Beth Segerholm's NPI number?

The NPI number for Beth Segerholm is 1548734536. It was assigned to this individual provider in the NPPES registry on January 14, 2019.

Q: What is Beth Segerholm's specialty?

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

Q: Is Beth Segerholm enrolled in Medicare?

No. Beth Segerholm has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Beth Segerholm was last updated on September 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 January 14, 2019Opted out of Medicare · through Oct 1, 2027

106 SONORA ST, NEWPORT BEACH, CA 92663(218) 779-7178 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 13, 2022, Feb 11, 2022, Jan 10, 2020 and 1 more (4 updates tracked since 2019).

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About Beth Segerholm Dnp, Fnp-bc NPPES

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

BETH SEGERHOLM DNP, FNP-BC (NPI 1548734536) is an individual family provider in Newport Beach, California, licensed in California (95018012) and active in the NPI registry since January 2019. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1548734536

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameBETH SEGERHOLMCredential: DNP, FNP-BC

Location Address106 SONORA STNewport Beach, CA 92663-1741

Mailing Address106 Sonora StNewport Beach, CA 92663-1741 · (218) 779-7178

Phone(218) 779-7178

Sole ProprietorNo

Enumeration DateJanuary 14, 2019

Last NPPES UpdateSeptember 13, 20224 updates tracked since enumeration

NPPES CertifiedSeptember 13, 2022

✔ NPI 1548734536 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

Licenses✔ Licensed in CA · 95018012✔ Licensed in AZ · AP11542

106 SONORA ST, Newport Beach, CA 92663

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Beth Segerholm Dnp, Fnp-bc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2021 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2021

Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92663 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

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 Beth Segerholm's NPI number?

The NPI number for Beth Segerholm is 1548734536. It was assigned to this individual provider in the NPPES registry on January 14, 2019.

Where is Beth Segerholm located?

Beth Segerholm practices at 106 Sonora St, Newport Beach, CA 92663. The listed phone number is (218) 779-7178.

What is Beth Segerholm's specialty?

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

Is Beth Segerholm enrolled in Medicare?

No. Beth Segerholm has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Beth Segerholm was last updated on September 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.