KAITLYN ELIZABETH FAKOURI FNP-C
NPI 1821754979
Nurse Practitioner in Sacramento, CA

Active since November 12, 2021PECOS EnrolledAccepts Medicare Assignment
3441 MARYSVILLE BLVD, SACRAMENTO, CA 95838(916) 737-5555 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 19, 2026, Dec 29, 2022, Nov 12, 2021 (3 updates tracked since 2021).

About Kaitlyn Elizabeth Fakouri Fnp-c NPPES

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

KAITLYN ELIZABETH FAKOURI FNP-C (NPI 1821754979) is an individual nurse practitioner in Sacramento, California, licensed in California (95019130) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1821754979
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKAITLYN ELIZABETH FAKOURICredential: FNP-C
Location Address3441 MARYSVILLE BLVDSacramento, CA 95838-4512
Mailing AddressPo Box 761Rancho Cordova, CA 95741-0761 · (225) 333-0806
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 12, 2021
Last NPPES UpdateMarch 19, 20263 updates tracked since enumeration
NPPES CertifiedMarch 19, 2026
NPI 1821754979 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 · 95019130
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.
3441 MARYSVILLE BLVD, Sacramento, CA 95838

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kaitlyn Elizabeth Fakouri Fnp-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 ID3779974985
PECOS Enrollment IDI20211223000746
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 95838 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 12

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

Physician Assistant
3441 MARYSVILLE BLVD
SACRAMENTO, CA 95838
Physician Assistant
3441 MARYSVILLE BLVD
SACRAMENTO, CA 95838
Pediatrics
3441 MARYSVILLE BLVD
SACRAMENTO, CA 95838
Pediatrics
3441 MARYSVILLE BLVD
SACRAMENTO, CA 95838
Nurse Practitioner (Primary Care)
3441 MARYSVILLE BLVD
SACRAMENTO, CA 95838
Family Medicine
3441 MARYSVILLE BLVD
SACRAMENTO, CA 95838
Physician Assistant (Medical)
3441 MARYSVILLE BLVD
SACRAMENTO, CA 95838
Family Medicine
3441 MARYSVILLE BLVD
SACRAMENTO, CA 95838

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 Kaitlyn Fakouri's NPI number?

The NPI number for Kaitlyn Fakouri is 1821754979. It was assigned to this individual provider in the NPPES registry on November 12, 2021.

Where is Kaitlyn Fakouri located?

Kaitlyn Fakouri practices at 3441 Marysville Blvd, Sacramento, CA 95838. The listed phone number is (916) 737-5555.

What is Kaitlyn Fakouri's specialty?

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

Is Kaitlyn Fakouri enrolled in Medicare?

Yes. Kaitlyn Fakouri 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.

When was this NPI record last updated?

The NPPES record for Kaitlyn Fakouri was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.