STEPHANIE HETREA NP
NPI 1699164277
Nurse Practitioner - Acute Care in Sacramento, CA

Q: What is Stephanie Hetrea's NPI number?

The NPI number for Stephanie Hetrea is 1699164277. It was assigned to this individual provider in the NPPES registry on January 20, 2015.

Q: What is Stephanie Hetrea's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Hetrea was last updated on February 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 20, 2015PECOS Enrolled

4860 Y ST STE 3740, SACRAMENTO, CA 95817(916) 734-4300 Get Directions Write a Review

NPPES record last updated: February 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 20, 2020, Jan 10, 2020, Oct 7, 2019 and 1 more (4 updates tracked since 2016).

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About Stephanie Hetrea Np NPPES

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

STEPHANIE HETREA NP (NPI 1699164277) is an individual acute care provider in Sacramento, California, licensed in California (95012070) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1699164277

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameSTEPHANIE HETREACredential: NP

Location Address4860 Y ST STE 3740Sacramento, CA 95817-2307

Mailing Address3301 C St Ste 1500Sacramento, CA 95816-3371 · (847) 630-4779

Phone(916) 734-4300

Sole ProprietorNo

Enumeration DateJanuary 20, 2015

Last NPPES UpdateFebruary 20, 20204 updates tracked since enumeration

✔ NPI 1699164277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

Licenses✔ Licensed in CA · 95012070✔ Licensed in IL · 041380159

4860 Y ST STE 3740, Sacramento, CA 95817

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Secondary Practice Locations 2

Location 12315 Stockton BlvdSacramento, CA 95817-2201 · Phone (916) 734-2011

Location 23301 C St Ste 1500Sacramento, CA 95816-3371 · Phone (916) 734-7463

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Hetrea Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95817 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 18

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

JARED WILLIAM CLOUSE MD

Student in an Organized Health Care Education/Training Program