1. Home
  2. Directory
  3. California
  4. Lincoln
  5. Nurse Practitioner
  6. NPI Profile

KAORU NAMURA AG-ACNP
NPI 1962007492
Nurse Practitioner - Acute Care in Lincoln, CA

Active since December 02, 2020PECOS Enrolled
130 ROSELLA PL, LINCOLN, CA 95648(916) 396-6182 Get Directions Write a Review

NPPES record last updated: December 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kaoru Namura Ag-acnp NPPES

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

KAORU NAMURA AG-ACNP (NPI 1962007492) is an individual acute care provider in Lincoln, California, licensed in California (95015067) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1962007492
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKAORU NAMURACredential: AG-ACNP
Location Address130 ROSELLA PLLincoln, CA 95648-8923
Mailing Address130 Rosella PlLincoln, CA 95648-8923 · (916) 396-6182
Phone(916) 396-6182
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 2, 2020
NPPES CertifiedDecember 2, 2020
✔ NPI 1962007492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CA · 95015067
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 735902 (CA)
130 ROSELLA PL, Lincoln, CA 95648
Open in Google Maps ↗

Other Names 1

Other Name (5)Kira Namura

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaoru Namura Ag-acnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840645057
PECOS Enrollment IDI20231009000435
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.

Areas of Expertise CMS Part B claims

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95648 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.

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 Kaoru Namura's NPI number?

The NPI number for Kaoru Namura is 1962007492. It was assigned to this individual provider in the NPPES registry on December 2, 2020. The provider is also known as Kira Namura.

Where is Kaoru Namura located?

Kaoru Namura practices at 130 Rosella Pl, Lincoln, CA 95648. The listed phone number is (916) 396-6182.

What is Kaoru Namura's specialty?

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

Is Kaoru Namura enrolled in Medicare?

Yes. Kaoru Namura is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kaoru Namura was last updated on December 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.