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SEAN KOULABOUD APRN
NPI 1568837276
Nurse Practitioner - Family in Folsom, CA

Active since December 07, 2015PECOS EnrolledAccepts Medicare Assignment
1600 CREEKSIDE DR STE 2100, FOLSOM, CA 95630(169) 832-6639(169) 830-6029 Get Directions Write a Review

NPPES record last updated: May 3, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 3, 2018, Jan 27, 2017, Dec 24, 2015 and 1 more (4 updates tracked since 2015).

About Sean Koulaboud Aprn NPPES

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

SEAN KOULABOUD APRN (NPI 1568837276) is an individual family provider in Folsom, California, licensed in California (95004148) and active in the NPI registry since December 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Wichita, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1568837276
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSEAN KOULABOUDCredential: APRN
Location Address1600 CREEKSIDE DR STE 2100Folsom, CA 95630-3447
Mailing Address1600 Creekside Dr Ste 2100Folsom, CA 95630-3447 · (169) 832-6639 · Fax (169) 830-6029
Phone(169) 832-6639
Fax(169) 830-6029
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 7, 2015
Last NPPES UpdateMay 3, 20184 updates tracked since enumeration
✔ NPI 1568837276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in CA · 95004148✔ Licensed in KS · 53-76899
Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN-53-76899 (KS)
1600 CREEKSIDE DR STE 2100, Folsom, CA 95630
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Other Names 1

Professional Name (2)Sean Koulaboud Np

Secondary Practice Location 1

Location 1550 N Hillside StWichita, KS 67214-4910 · Phone (316) 962-2000 · Fax (303) 306-7753

Other Identifiers 2

OtherAPRN-53-76899KS · Kansas Nursing License
Other95004148CA · California Nursing License

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

Sean Koulaboud Aprn 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 ID143527671
PECOS Enrollment IDI20170505002072
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 95630 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers18 claims42 services$5.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

PATRICIA NABORS KING NP
Nurse Practitioner
1600 CREEKSIDE DR STE 2100
FOLSOM, CA 95630
Sacramento County (916) 983-2663
MEENA MEDICAL GROUP, INC
Clinic/Center (Primary Care)
1600 CREEKSIDE DR STE 2100
FOLSOM, CA 95630
Sacramento County (916) 542-7467
DIANA KAI MORRIS PA-C
Physician Assistant
1600 CREEKSIDE DR STE 2100
FOLSOM, CA 95630
Sacramento County (916) 983-2663

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 Sean Koulaboud's NPI number?

The NPI number for Sean Koulaboud is 1568837276. It was assigned to this individual provider in the NPPES registry on December 7, 2015. The provider is also known as Sean Koulaboud Np.

Where is Sean Koulaboud located?

Sean Koulaboud practices at 1600 Creekside Dr Ste 2100, Folsom, CA 95630. The listed phone number is (169) 832-6639.

What is Sean Koulaboud's specialty?

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

Is Sean Koulaboud enrolled in Medicare?

Yes. Sean Koulaboud 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.

When was this NPI record last updated?

The NPPES record for Sean Koulaboud was last updated on May 3, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.