Individual provider Active NPI

Manpreet Kaur

  • Family Nurse Practitioner
  • Roseville, CA
National Provider Identifier
1700608304
Registry record updated Oct 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95030419 Issued in CA
Practice address
1729 Ainsdale Dr
Roseville, CA 95747-5835
Phone
(916) 335-9167
NPI assigned
Oct 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95030419 CA Primary

Addresses

Primary practice location

1729 Ainsdale Dr
Roseville, CA 95747-5835

Mailing address

1729 Ainsdale Dr
Roseville, CA 95747-5835
Phone (916) 335-9167

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
I20250930002229 CA Practitioner - Nurse Practitioner 1850897729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellness Urgent Care Medical CorporationGroup PAC ID 8820590060, 5 clinicians

Practice addresses (Care Compare)

483 Grass Valley Hwy
Auburn, CA 95603-3713
Phone (530) 537-2250

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95030419CAMDChild & Adolescent Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Urgent Care Medical Corporation CurrentSince Aug 1, 2025 Accepting new patients

Locations

483 Grass Valley Hwy
Auburn, CA 95603
Phone (530) 537-2250

Interoperability endpoints

  • Direct secure messaging: mkaur230862@hpmg.direct-ci.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729900800000",
    "number": "1700608304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 AINSDALE DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957475835",
            "telephone_number": "916-335-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 AINSDALE DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957475835",
            "telephone_number": "916-335-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "MANPREET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-26",
        "last_updated": "2024-10-26",
        "certification_date": "2024-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95030419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.