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

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: November 01, 2026.

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

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

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

County Of San Joaquin
41 mi
Multi-Specialty
1414 NORTH CALIFORNIA STREET SUITE C
Stockton, CA 95202
  • Reassigned Medicare billing, California enrollment
  • 534 clinicians in this Medicare group
NPI 1891036612 (209) 953-6400
San Joaquin Faculty Medical Group
47 mi
Internal Medicine
500 HOSPITAL RD
French Camp, CA 95231
  • Reassigned Medicare billing, California enrollment
  • 512 clinicians in this Medicare group
NPI 1225063761 (209) 473-6555

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 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
4860 Y ST STE 3740
SACRAMENTO, CA 95817
Sacramento County (916) 734-3071
MS. VILIJA ABRUTE
Nurse Practitioner
4860 Y ST STE 3740
SACRAMENTO, CA 95817
Sacramento County (916) 734-6512
DR. JOSE ANTONIO CASTILLO JR. MD
Student in an Organized Health Care Education/Training Program
4860 Y ST STE 3740
SACRAMENTO, CA 95817
Sacramento County (916) 734-3658
SARAH ANNE RIESINGER
Physician Assistant
4860 Y ST STE 3740
SACRAMENTO, CA 95817
Sacramento County (916) 734-3658
IRENE NICOLETTE FALK
Student in an Organized Health Care Education/Training Program
4860 Y ST STE 3740
SACRAMENTO, CA 95817
Sacramento County (916) 734-3658
MR. JOHN GRIFFITH HUME PA-C
Physician Assistant (Medical)
4860 Y ST STE 3740
SACRAMENTO, CA 95817
Sacramento County (916) 734-6448
MR. FREDDIE YAMEL RODRIGUEZ BEATO
Student in an Organized Health Care Education/Training Program
4860 Y ST STE 3740
SACRAMENTO, CA 95817
Sacramento County (916) 734-6285
ARASH GHAFFARI-RAFI MD
Student in an Organized Health Care Education/Training Program
4860 Y ST STE 3740
SACRAMENTO, CA 95817
Sacramento County (916) 734-3658

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 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.

Where is Stephanie Hetrea located?

Stephanie Hetrea practices at 4860 Y St Ste 3740, Sacramento, CA 95817. The listed phone number is (916) 734-4300.

What is Stephanie Hetrea's specialty?

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

Is Stephanie Hetrea enrolled in Medicare?

Yes. Stephanie Hetrea is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stephanie Hetrea's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Hetrea reassigns Medicare benefits to 2 organizations: County Of San Joaquin (Stockton, CA) and San Joaquin Faculty Medical Group (French Camp, 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 Stephanie Hetrea'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 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.