KATHLEEN MENTINK FNP
NPI 1699963355
Nurse Practitioner in Carmichael, CA

Q: What is Kathleen Mentink's NPI number?

The NPI number for Kathleen Mentink is 1699963355. It was assigned to this individual provider in the NPPES registry on October 9, 2007.

Q: What is Kathleen Mentink's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kathleen Mentink was last updated on October 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 October 09, 2007PECOS Enrolled

6127 FAIR OAKS BLVD, CARMICHAEL, CA 95608(916) 974-8090 Get Directions Write a Review

NPPES record last updated: October 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kathleen Mentink Fnp NPPES

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

KATHLEEN MENTINK FNP (NPI 1699963355) is an individual nurse practitioner in Carmichael, California, licensed in California (8661) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699963355

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKATHLEEN MENTINKCredential: FNP

Location Address6127 FAIR OAKS BLVDCarmichael, CA 95608-4818

Mailing Address310 Harris Ave, Suite ASacramento, CA 95838-3249 · (916) 649-6793

Phone(916) 974-8090

Sole ProprietorNo

Enumeration DateOctober 9, 2007

✔ NPI 1699963355 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 · 8661

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.

6127 FAIR OAKS BLVD, Carmichael, CA 95608

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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)

Kathleen Mentink Fnp 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 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.

MATTHEW K GILLIKEN

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