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JOSHUA WORMLEY
NPI 1578912937
Nurse Practitioner - Family in Elk Grove, CA

Active since June 07, 2016PECOS Enrolled
8170 LAGUNA BLVD, SUITE 114, ELK GROVE, CA 95758(916) 691-5900(916) 691-6736 Get Directions Write a Review

NPPES record last updated: September 8, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Joshua Wormley NPPES

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

JOSHUA WORMLEY (NPI 1578912937) is an individual family provider in Elk Grove, California, licensed in California (95004428) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578912937
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJOSHUA WORMLEY
Location Address8170 LAGUNA BLVD, SUITE 114Elk Grove, CA 95758
Mailing Address10470 Old Placerviller Road, Suite 100Sacramento, CA 95827-2539 · (800) 470-0071
Phone(916) 691-5900
Fax(916) 691-6736
Sole ProprietorNo
Enumeration DateJune 7, 2016
Last NPPES UpdateSeptember 8, 2016
✔ NPI 1578912937 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 · 95004428
8170 LAGUNA BLVD, Elk Grove, CA 95758
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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 (PECOS)

Joshua Wormley 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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
86 services68 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services20 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95758 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 3

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

Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims6,516 services$1.09 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims12 services$62.68 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims12 services$32.91 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 20

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

DR. MORTEZA BEHESHTIAN DDS
Dentist (General Practice)
8170 LAGUNA BLVD, #300
ELK GROVE, CA 95758
Sacramento County (916) 683-2000
SCOTT C CANNON MD
Family Medicine
8170 LAGUNA BLVD, SUITE 114
ELK GROVE, CA 95758
Sacramento County (916) 691-5900
THOMAS N ATKINS MD
Family Medicine
8170 LAGUNA BLVD, SUITE 215
ELK GROVE, CA 95758
Sacramento County (916) 691-5900
KARANBIR SINGH GILL M.D.
Pediatrics
8170 LAGUNA BLVD, SUITE 210
ELK GROVE, CA 95758
Sacramento County (916) 691-5999
DR. ANDREW G HUDNUT M.D.
Family Medicine
8170 LAGUNA BLVD, #220
ELK GROVE, CA 95758
Sacramento County (916) 691-5900
DR. MARK I GRIJNSZTEIN M.D.
Allergy & Immunology
8170 LAGUNA BLVD, SUITE 200
ELK GROVE, CA 95758
Sacramento County (916) 478-6555
CAROLE CHAN-YOU M.D.
Family Medicine
8170 LAGUNA BLVD, 215
ELK GROVE, CA 95758
Sacramento County (916) 691-5900
ANGELIA WANG MD, MPH
Obstetrics & Gynecology
8170 LAGUNA BLVD
ELK GROVE, CA 95758
Sacramento County (916) 691-5996

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 Joshua Wormley's NPI number?

The NPI number for Joshua Wormley is 1578912937. It was assigned to this individual provider in the NPPES registry on June 7, 2016.

Where is Joshua Wormley located?

Joshua Wormley practices at 8170 Laguna Blvd Suite 114, Elk Grove, CA 95758. The listed phone number is (916) 691-5900.

What is Joshua Wormley's specialty?

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

Is Joshua Wormley enrolled in Medicare?

Yes. Joshua Wormley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joshua Wormley was last updated on September 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.