MR. SAMUEL YU RN
NPI 1861725467
Nurse Anesthetist, Certified Registered in Roseville, CA

Active since September 14, 2009Accepts Medicare Assignment
1600 EUREKA RD, DEPT OF ANESTHESIA, ROSEVILLE, CA 95661(916) 784-5617 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Samuel Yu Rn NPPES

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

MR. SAMUEL YU RN (NPI 1861725467) is an individual nurse anesthetist, certified registered in Roseville, California, licensed in California (3843) and active in the NPI registry since September 2009. He is a graduate of University Of Southern California Keck School Of Medicine (2009).

NPPES Registry Identity

NPI1861725467
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. SAMUEL YUCredential: RN
Location Address1600 EUREKA RD, DEPT OF ANESTHESIARoseville, CA 95661-3027
Mailing Address1600 Eureka Rd, Dept Of AnesthesiaRoseville, CA 95661-3027 · (916) 784-5617
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2009
Enumeration DateSeptember 14, 2009
Last NPPES UpdateJanuary 3, 2022
✔ NPI 1861725467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in CA · 3843✔ Licensed in OK · 97599
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 651370 (CA)
1600 EUREKA RD, Roseville, CA 95661

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. Samuel Yu Rn 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 ID4082758842
PECOS Enrollment IDI20120206000527

Medicare Billing Reassignments

5

Medicare enrollment records show Samuel Yu reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Anesthetist, Certified Registered
1671 CREEKSIDE DR STE 100
Folsom, CA 95630
  • Reassigned Medicare billing, California enrollment
  • 47 clinicians in this Medicare group
Diagnostic Radiology
2800 L ST FL 7
Sacramento, CA 95816
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Sutter Valley Medical Foundation
  • Also billed through NPI 1972877264 (California), NPI 1457593980 (California), NPI 1467825844 (California), NPI 1346615150 (California)
  • 3,056 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
Nurse Anesthetist, Certified Registered
2700 LOW CT FL 2
Fairfield, CA 94534
  • Reassigned Medicare billing, California enrollment
  • 64 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 2

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.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
14 services14 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95661 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
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.

Urology
1600 EUREKA RD
ROSEVILLE, CA 95661
Pharmacist
1600 EUREKA RD
ROSEVILLE, CA 95661
Physical Therapist
1600 EUREKA RD
ROSEVILLE, CA 95661
Hospitalist
1600 EUREKA RD
ROSEVILLE, CA 95661
Internal Medicine
1600 EUREKA RD
ROSEVILLE, CA 95661
Nurse Practitioner (Women's Health)
1600 EUREKA RD, WOMEN'S HEALTH , PERMANENTE MEDICAL GROUP
ROSEVILLE, CA 95661
Pediatrics (Pediatric Hematology-Oncology)
1600 EUREKA RD
ROSEVILLE, CA 95661
Pharmacist
1600 EUREKA RD
ROSEVILLE, CA 95661

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 Samuel Yu's NPI number?

The NPI number for Samuel Yu is 1861725467. It was assigned to this individual provider in the NPPES registry on September 14, 2009.

Where is Samuel Yu located?

Samuel Yu practices at 1600 Eureka Rd Dept Of Anesthesia, Roseville, CA 95661. The listed phone number is (916) 784-5617.

What is Samuel Yu's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Samuel Yu enrolled in Medicare?

Yes. Samuel Yu 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 Samuel Yu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Yu reassigns Medicare benefits to 5 organizations: Folsom Anesthesia LP (Folsom, CA), Sutter Medical Foundation (Sacramento, CA), Regents Of The Univ Of Ca (Sacramento, CA), Permanente Medical Group Inc (Stockton, CA) and Green Anesthesia (Fairfield, 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 Samuel Yu'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 Samuel Yu was last updated on January 3, 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.