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EYERUSALEM YILMA FNP
NPI 1568130342
Nurse Practitioner - Family in Sacramento, CA

Active since September 05, 2021PECOS EnrolledAccepts Medicare Assignment
4321 TRUXEL RD STE F4, SACRAMENTO, CA 95834(916) 947-9110 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 19, 2022, Oct 13, 2021 (2 updates tracked since 2021).

About Eyerusalem Yilma Fnp NPPES

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

EYERUSALEM YILMA FNP (NPI 1568130342) is an individual family provider in Sacramento, California, licensed in California (95017995) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1568130342
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEYERUSALEM YILMACredential: FNP
Location Address4321 TRUXEL RD STE F4Sacramento, CA 95834-3753
Mailing Address4321 Truxel Rd Ste F4Sacramento, CA 95834-3753 · (916) 947-9110
Phone(916) 947-9110
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 5, 2021
Last NPPES UpdateSeptember 19, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2022
✔ NPI 1568130342 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 · 95017995
4321 TRUXEL RD STE F4, Sacramento, CA 95834
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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 and accepts Medicare assignment

Eyerusalem Yilma Fnp 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 ID345628756
PECOS Enrollment IDI20220525001824
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 Reassignments

2

Medicare enrollment records show Eyerusalem Yilma reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Natomas Urgent Care Inc.
Same address
Urgent Care
4321 TRUXEL RD
Sacramento, CA 95834
  • Reassigned Medicare billing, California enrollment
  • 13 clinicians in this Medicare group
NPI 1063996122 (916) 524-6976
Permanente Medical Group Inc
45 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

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.

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 Eyerusalem Yilma's NPI number?

The NPI number for Eyerusalem Yilma is 1568130342. It was assigned to this individual provider in the NPPES registry on September 5, 2021.

Where is Eyerusalem Yilma located?

Eyerusalem Yilma practices at 4321 Truxel Rd Ste F4, Sacramento, CA 95834. The listed phone number is (916) 947-9110.

What is Eyerusalem Yilma's specialty?

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

Is Eyerusalem Yilma enrolled in Medicare?

Yes. Eyerusalem Yilma is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Eyerusalem Yilma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eyerusalem Yilma reassigns Medicare benefits to 2 organizations: Natomas Urgent Care Inc. (Sacramento, CA) and Permanente Medical Group Inc (Stockton, CA). Each 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 Eyerusalem Yilma'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 Eyerusalem Yilma was last updated on September 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.