MICHELLE BERDEJO TINDOGAN NURSE PRACTITIONER
NPI 1902637325
Nurse Practitioner - Family in Sacramento, CA

Q: What is Michelle Tindogan's NPI number?

The NPI number for Michelle Tindogan is 1902637325. It was assigned to this individual provider in the NPPES registry on August 8, 2024.

Q: What is Michelle Tindogan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Tindogan was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 August 08, 2024PECOS Enrolled

3030 EXPLORER DR, SACRAMENTO, CA 95827(916) 642-1867 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michelle Berdejo Tindogan Nurse Practitioner NPPES

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

MICHELLE BERDEJO TINDOGAN NURSE PRACTITIONER (NPI 1902637325) is an individual family provider in Sacramento, California, licensed in California (NP95029951) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1902637325

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMICHELLE BERDEJO TINDOGANCredential: NURSE PRACTITIONER

Location Address3030 EXPLORER DRSacramento, CA 95827-2728

Mailing Address8221 Meadowleaf AveElk Grove, CA 95757-3477 · (954) 398-4255

Phone(916) 642-1867

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 8, 2024

NPPES CertifiedAugust 8, 2024

✔ NPI 1902637325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · NP95029951

3030 EXPLORER DR, Sacramento, CA 95827

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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)

Michelle Berdejo Tindogan Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799214607

PECOS Enrollment IDI20260107004440

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 95827 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 14

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

HOJUN PARK DDS

Dentist (General Practice)