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SIDTIA SIDTIKUN NP
NPI 1942182696
Nurse Practitioner in Modesto, CA

Active since July 23, 2025PECOS Enrolled
1114 6TH ST, MODESTO, CA 95354(209) 262-7373 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Sidtia Sidtikun Np NPPES

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

SIDTIA SIDTIKUN NP (NPI 1942182696) is an individual nurse practitioner in Modesto, California, licensed in California (95036329) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1942182696
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSIDTIA SIDTIKUNCredential: NP
Location Address1114 6TH STModesto, CA 95354-2203
Mailing Address1114 6th St Ste 101Modesto, CA 95354-2203 · (209) 262-7373
Phone(209) 262-7373
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 23, 2025
Last NPPES UpdateMay 22, 2026
NPPES CertifiedMay 22, 2026
✔ NPI 1942182696 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 · 95036329
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.
1114 6TH ST, Modesto, CA 95354
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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)

Sidtia Sidtikun Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395217483
PECOS Enrollment IDI20260619001251
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 95354 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

GOLDEN VALLEY HEALTH CENTERS
Physician Assistant (Medical)
1114 6TH ST
MODESTO, CA 95354
Stanislaus County (209) 576-2845
KAMALPREET KAUR FNP
Nurse Practitioner
1114 6TH ST
MODESTO, CA 95354
Stanislaus County (209) 576-2845
NATASHA NEELUM DOUGLASS FNP
Nurse Practitioner (Family)
1114 6TH ST
MODESTO, CA 95354
Stanislaus County (209) 576-2845
PAUL TUGULUMIZE KIRUUTA FNP
Nurse Practitioner (Family)
1114 6TH ST
MODESTO, CA 95354
Stanislaus County (209) 576-2845
ARLENE ALEXANDRA ACOSTA
Social Worker (Clinical)
1114 6TH ST
MODESTO, CA 95354
Stanislaus County (209) 722-4842
DR. LAURA A. STALLONE MD
Obstetrics & Gynecology
1114 6TH ST
MODESTO, CA 95354
Stanislaus County (209) 576-2845
GUADALUPE LOPEZ
Social Worker (Clinical)
1114 6TH ST
MODESTO, CA 95354
Stanislaus County (209) 576-2845
NATALIE ANGELE MATTOS PA
Physician Assistant (Medical)
1114 6TH ST
MODESTO, CA 95354
Stanislaus County (209) 576-2845

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 Sidtia Sidtikun's NPI number?

The NPI number for Sidtia Sidtikun is 1942182696. It was assigned to this individual provider in the NPPES registry on July 23, 2025.

Where is Sidtia Sidtikun located?

Sidtia Sidtikun practices at 1114 6th St, Modesto, CA 95354. The listed phone number is (209) 262-7373.

What is Sidtia Sidtikun's specialty?

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

Is Sidtia Sidtikun enrolled in Medicare?

Yes. Sidtia Sidtikun is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sidtia Sidtikun was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.