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

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).

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
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

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.

Nurse Practitioner
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Radiology (Neuroradiology)
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Surgery
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Psychiatry & Neurology (Neurology)
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Psychiatry & Neurology (Neurology)
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Emergency Medicine
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
General Acute Care Hospital
2315 STOCKTON BLVD, PSSB 2100
SACRAMENTO, CA 95817
Emergency Medicine
2315 STOCKTON BLVD, PSSB SUITE 2100
SACRAMENTO, CA 95817

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912411687, enumerated as an "individual" on November 16, 2017.

The provider is located at 2315 STOCKTON BLVD SACRAMENTO, CA 95817 and the phone number is (916) 734-5590.

Nurse Practitioner with taxonomy code 363LA2100X and a focus in Acute Care.