Individual provider Active NPI

Jasleen Kaur Agroia, NP

  • Family Nurse Practitioner
  • Folsom, CA
National Provider Identifier
1457069296
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95022384 Issued in CA
Practice address
2575 E Bidwell St
Folsom, CA 95630-6444
Phone
(916) 531-7100
NPI assigned
Nov 10, 2022
Last updated
Dec 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95022384 CA
Family Nurse Practitioner 363LF0000X 95022384 CA Primary

Addresses

Primary practice location

2575 E Bidwell St
Folsom, CA 95630-6444

Mailing address

2575 E Bidwell St
Folsom, CA 95630-6444
Phone (916) 531-7100

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
I20230829001115 CA Practitioner - Nurse Practitioner 3173986874 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Folsom Lake Primary Care PC CurrentSince Jul 2, 2023 Accepting new patients

Locations

2575 E Bidwell St
Ste 210
Folsom, CA 95630
Phone (916) 790-0450

Interoperability endpoints

  • Direct secure messaging: jkauragroia641713@hisp.ehr.sutterhealth.org

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1457069296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 E BIDWELL ST",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306444",
            "telephone_number": "916-531-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 E BIDWELL ST",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306444",
            "telephone_number": "916-531-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGROIA",
        "first_name": "JASLEEN",
        "middle_name": "KAUR",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-10",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95022384",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95022384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.