Individual provider Active NPI

Ann Elizabeth Spernoga, N.P.

  • Gerontology Nurse Practitioner
  • Citrus Heights, CA
National Provider Identifier
1023470911
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
95002973 Issued in CA
Practice address
7115 Greenback LN FL 2
Citrus Heights, CA 95621-5637
Phone
(916) 733-3460
Fax
(916) 560-0266
NPI assigned
Mar 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 95002973 CA Primary

Addresses

Primary practice location

7115 Greenback LN FL 2
Citrus Heights, CA 95621-5637

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160627000964 CA Practitioner - Nurse Practitioner 3375834179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Snowline Hospice of El Dorado CountyGroup PAC ID 8820905854, 5 clinicians

Practice addresses (Care Compare)

6520 Pleasant Valley Rd
Diamond Springs, CA 95619-9512
Phone (530) 621-7820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95002973CAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Snowline Eldercare PC CurrentSince Apr 6, 2025 Accepting new patients
Snowline Hospice of El Dorado County CurrentSince Jul 10, 2025 Accepting new patients

Locations

6520 Pleasant Valley Rd
Diamond Springs, CA 95619
Phone (530) 621-7820

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1023470911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 GREENBACK LN FL 2",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956215637",
            "telephone_number": "916-733-3460",
            "fax_number": "916-560-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERNOGA",
        "first_name": "ANN",
        "middle_name": "ELIZABETH",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95002973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Citrus Heights, CA

Sources for this page

Verify at the official NPI Registry.