LARS GJERDE AGACNP-BC
NPI 1912411687
Nurse Practitioner - Acute Care in Sacramento, CA

Q: What is Lars Gjerde's NPI number?

The NPI number for Lars Gjerde is 1912411687. It was assigned to this individual provider in the NPPES registry on November 16, 2017.

Q: What is Lars Gjerde's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lars Gjerde was last updated on November 16, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 16, 2017PECOS EnrolledAccepts Medicare Assignment

2315 STOCKTON BLVD, SACRAMENTO, CA 95817(916) 734-5590 Get Directions Write a Review

NPPES record last updated: November 16, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 16, 2018, Jul 18, 2018, Nov 16, 2017 (3 updates tracked since 2017).

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About Lars Gjerde Agacnp-bc NPPES

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

LARS GJERDE AGACNP-BC (NPI 1912411687) is an individual acute care provider in Sacramento, California, licensed in California (NP95009472) and active in the NPI registry since November 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Sacramento, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1912411687

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameLARS GJERDECredential: AGACNP-BC

Location Address2315 STOCKTON BLVDSacramento, CA 95817-2201

Mailing Address261 Selby Ranch Rd Apt 3Sacramento, CA 95864-5854

Phone(916) 734-5590

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateNovember 16, 2017

Last NPPES UpdateNovember 16, 20183 updates tracked since enumeration

✔ NPI 1912411687 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

License✔ Licensed in CA · NP95009472

2315 STOCKTON BLVD, Sacramento, CA 95817

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Secondary Practice Location 1

Location 1261 Selby Ranch Rd Apt 3Sacramento, CA 95864 · Phone (585) 200-8903

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

Lars Gjerde Agacnp-bc 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 ID6608127782

PECOS Enrollment IDI20180928002730

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 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 20

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

ROBERT JAMES OMALLEY NP

Nurse Practitioner