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SIMA SITAULA N.P.
NPI 1962770230
Nurse Practitioner - Family in Sacramento, CA

Active since December 01, 2011PECOS EnrolledAccepts Medicare Assignment
3000 Q ST, SACRAMENTO, CA 95816(916) 733-3346(916) 733-3320 Get Directions Write a Review

NPPES record last updated: July 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sima Sitaula N.p. NPPES

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

SIMA SITAULA N.P. (NPI 1962770230) is an individual family provider in Sacramento, California, licensed in California (23812) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1962770230
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSIMA SITAULACredential: N.P.
Location Address3000 Q STSacramento, CA 95816-7058
Mailing Address3400 Data Dr, Physician Support ServicesRancho Cordova, CA 95670-7956
Phone(916) 733-3346
Fax(916) 733-3320
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateDecember 1, 2011
Last NPPES UpdateJuly 25, 2019
✔ NPI 1962770230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in CA · 23812✔ Licensed in TX · 735478
3000 Q ST, Sacramento, CA 95816
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Other Names 1

Former Name (1)Sima Sapkota Np

Other Identifiers 3

OtherP01055785TX · Rr Medicare
Other1962770230TX · Blue Cross Blue Shield
Medicaid300901101TX

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

Sima Sitaula N.p. 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 ID5991972507
PECOS Enrollment IDI20140828000024
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 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
271 services120 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
193 services98 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
130 services75 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
69 services50 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
27 services23 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95816 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.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
4 suppliers26 claims301 services$17.08 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
4 suppliers28 claims745 services$2.21 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
1 supplier21 claims21 services$152.69 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
19 suppliers61 claims222 services$6.25 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers25 claims35 services$1.13 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
3 suppliers41 claims41 services$309.87 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

PATRICK RICHARDS MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3000 Q ST
SACRAMENTO, CA 95816
Sacramento County (916) 733-3346
DONALD A. MILES M.D.
Family Medicine
3000 Q ST
SACRAMENTO, CA 95816
Sacramento County (916) 733-3333
DR. DIANNE ILENE MITCHELL DPM
Podiatrist (Foot & Ankle Surgery)
3000 Q ST, 4TH FLOOR PODIATRY
SACRAMENTO, CA 95816
Sacramento County (916) 733-3359
RUSSELL E. NILES M.D.
Obstetrics & Gynecology (Gynecology)
3000 Q ST
SACRAMENTO, CA 95816
Sacramento County (916) 733-5336
ANA BELA OLIVEIRA NP-C
Nurse Practitioner (Adult Health)
3000 Q ST
SACRAMENTO, CA 95816
Sacramento County (916) 733-3344
TOMMY J. POIRIER M.D.
Internal Medicine (Gastroenterology)
3000 Q ST
SACRAMENTO, CA 95816
Sacramento County (916) 733-5336
SHEFALI SHAH M.D.
Internal Medicine
3000 Q ST
SACRAMENTO, CA 95816
Sacramento County (916) 733-3400
SOROUR RAHGOSHAY MD
Internal Medicine (Geriatric Medicine)
3000 Q ST
SACRAMENTO, CA 95816
Sacramento County (916) 733-3460

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 Sima Sitaula's NPI number?

The NPI number for Sima Sitaula is 1962770230. It was assigned to this individual provider in the NPPES registry on December 1, 2011. The provider is also known as Sima Sapkota Np.

Where is Sima Sitaula located?

Sima Sitaula practices at 3000 Q St, Sacramento, CA 95816. The listed phone number is (916) 733-3346.

What is Sima Sitaula's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sima Sitaula enrolled in Medicare?

Yes. Sima Sitaula is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Sima Sitaula was last updated on July 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.