MR. NATHANIEL CARPIO NP-C
NPI 1598360042
Nurse Practitioner in Carmichael, CA

Active since December 02, 2020PECOS EnrolledAccepts Medicare Assignment
6501 COYLE AVE, CARMICHAEL, CA 95608(408) 318-3023 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 5, 2021, Dec 2, 2020 (2 updates tracked since 2020).

About Mr. Nathaniel Carpio Np-c NPPES

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

MR. NATHANIEL CARPIO NP-C (NPI 1598360042) is an individual nurse practitioner in Carmichael, California, licensed in California (95015001) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Elk Grove, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1598360042
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. NATHANIEL CARPIOCredential: NP-C
Location Address6501 COYLE AVECarmichael, CA 95608-0306
Mailing Address555 Capitol Mall Ste 570Sacramento, CA 95814-4502 · (800) 406-1120
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 2, 2020
Last NPPES UpdateMarch 31, 20222 updates tracked since enumeration
NPPES CertifiedMarch 31, 2022
✔ NPI 1598360042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95015001
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
6501 COYLE AVE, Carmichael, CA 95608

Secondary Practice Location 1

Location 16305 Monvalle CtElk Grove, CA 95757-2815 · Phone (408) 318-3023

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

Mr. Nathaniel Carpio Np-c 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 ID6507251675
PECOS Enrollment IDI20220328002050
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

3

Medicare enrollment records show Nathaniel Carpio reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
2801 K STREET SUITE 440
Sacramento, CA 95816
  • Reassigned Medicare billing, California enrollment
  • 266 clinicians in this Medicare group
Dermatopathology
3301 C ST STE 1413
Sacramento, CA 95816
  • Reassigned Medicare billing, California enrollment
  • 2,570 clinicians in this Medicare group
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
36 services36 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
27 services27 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services18 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95608 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 20

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

Nurse Practitioner (Family)
6501 COYLE AVE
CARMICHAEL, CA 95608
Student in an Organized Health Care Education/Training Program
6501 COYLE AVE
CARMICHAEL, CA 95608
Student in an Organized Health Care Education/Training Program
6501 COYLE AVE
CARMICHAEL, CA 95608
Physician Assistant
6501 COYLE AVE
CARMICHAEL, CA 95608
Emergency Medicine
6501 COYLE AVE
CARMICHAEL, CA 95608
Nurse Practitioner (Neonatal, Critical Care)
6501 COYLE AVE
CARMICHAEL, CA 95608
Student in an Organized Health Care Education/Training Program
6501 COYLE AVE
CARMICHAEL, CA 95608
Anesthesiology
6501 COYLE AVE
CARMICHAEL, CA 95608

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 Nathaniel Carpio's NPI number?

The NPI number for Nathaniel Carpio is 1598360042. It was assigned to this individual provider in the NPPES registry on December 2, 2020.

Where is Nathaniel Carpio located?

Nathaniel Carpio practices at 6501 Coyle Ave, Carmichael, CA 95608. The listed phone number is (408) 318-3023.

What is Nathaniel Carpio's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nathaniel Carpio enrolled in Medicare?

Yes. Nathaniel Carpio 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 Nathaniel Carpio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathaniel Carpio reassigns Medicare benefits to 3 organizations: Acute Care Surgery Medical Group, Inc. (Sacramento, CA), Regents Of The Univ Of Ca (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 Nathaniel Carpio'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 Nathaniel Carpio was last updated on March 31, 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.