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KYLE DAVID JASPER PMHNP, MSN, RN
NPI 1962057281
Nurse Practitioner - Psychiatric/Mental Health in Roseville, CA

Active since August 04, 2019PECOS Enrolled
11801 GO FOR BROKE RD, ROSEVILLE, CA 95678(916) 409-8261 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2023, Dec 10, 2020, Sep 11, 2019 and 2 more (5 updates tracked since 2019).

About Kyle David Jasper Pmhnp, Msn, Rn NPPES

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

KYLE DAVID JASPER PMHNP, MSN, RN (NPI 1962057281) is an individual psychiatric/mental health provider in Roseville, California, licensed in California (95015599) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962057281
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameKYLE DAVID JASPERCredential: PMHNP, MSN, RN
Location Address11801 GO FOR BROKE RDRoseville, CA 95678-7055
Mailing Address11801 Go For Broke RdRoseville, CA 95678-7055 · (562) 895-7814
Phone(916) 409-8261
Sole ProprietorNo
Enumeration DateAugust 4, 2019
Last NPPES UpdateAugust 24, 20235 updates tracked since enumeration
NPPES CertifiedAugust 24, 2023
✔ NPI 1962057281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95015599
11801 GO FOR BROKE RD, Roseville, CA 95678
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyle David Jasper Pmhnp, Msn, Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 95678 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 3

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

NATIVE HEALTH, A PROFESSIONAL NURSING CORPORATION
Nursing Care
11801 GO FOR BROKE RD
ROSEVILLE, CA 95678
Placer County (619) 565-9137
MR. STEVEN CHARLES FRANK PHYSICIAN ASSISTANT
Physician Assistant
11801 GO FOR BROKE RD
ROSEVILLE, CA 95678
Placer County (916) 409-8261
MS. KIMBERLY REY NURSE PRACTITIONER
Nurse Practitioner (Primary Care)
11801 GO FOR BROKE RD
ROSEVILLE, CA 95678
Placer County (916) 409-8262

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 Kyle Jasper's NPI number?

The NPI number for Kyle Jasper is 1962057281. It was assigned to this individual provider in the NPPES registry on August 4, 2019.

Where is Kyle Jasper located?

Kyle Jasper practices at 11801 Go For Broke Rd, Roseville, CA 95678. The listed phone number is (916) 409-8261.

What is Kyle Jasper's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kyle Jasper enrolled in Medicare?

Yes. Kyle Jasper is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kyle Jasper was last updated on August 24, 2023. 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.