LUZVIMINDA SELGA KOUTNEY FNP-C
NPI 1992560569
Nurse Practitioner - Primary Care in Elk Grove, CA

Active since February 14, 2024PECOS EnrolledAccepts Medicare Assignment
8152 GENEX WAY, ELK GROVE, CA 95757(916) 831-0404 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Luzviminda Selga Koutney Fnp-c NPPES

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

LUZVIMINDA SELGA KOUTNEY FNP-C (NPI 1992560569) is an individual primary care provider in Elk Grove, California, licensed in California (95029085) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1992560569
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameLUZVIMINDA SELGA KOUTNEYCredential: FNP-C
Location Address8152 GENEX WAYElk Grove, CA 95757-6207
Mailing Address8152 Genex WayElk Grove, CA 95757-6207 · (916) 831-0404
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 14, 2024
NPPES CertifiedFebruary 13, 2024
✔ NPI 1992560569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CA · 95029085
8152 GENEX WAY, Elk Grove, CA 95757

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Luzviminda Selga Koutney Fnp-c 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 ID6406012541
PECOS Enrollment IDI20250925002510
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Luzviminda Koutney reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
5900 COYLE AVE STE A
Carmichael, CA 95608
  • Reassigned Medicare billing, California enrollment
  • 72 clinicians in this Medicare group
Urgent Care
5900 COYLE AVE STE B
Carmichael, CA 95608
  • Reassigned Medicare billing, California enrollment
  • 41 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
554 5TH ST
Gustine, CA 95322
  • Reassigned Medicare billing, California enrollment
  • 179 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95757 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 Luzviminda Koutney's NPI number?

The NPI number for Luzviminda Koutney is 1992560569. It was assigned to this individual provider in the NPPES registry on February 14, 2024.

Where is Luzviminda Koutney located?

Luzviminda Koutney practices at 8152 Genex Way, Elk Grove, CA 95757. The listed phone number is (916) 831-0404.

What is Luzviminda Koutney's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Luzviminda Koutney enrolled in Medicare?

Yes. Luzviminda Koutney 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.

Which organizations bill Medicare for Luzviminda Koutney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luzviminda Koutney reassigns Medicare benefits to 3 organizations: All Inclusive Medical Services, Inc (Carmichael, CA), All Inclusive Medical Services Urgent Care, Inc. (Carmichael, CA) and Community Health Centers Of America (Gustine, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Luzviminda Koutney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Luzviminda Koutney was last updated on February 14, 2024. 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.