Individual provider Active NPI

Nisha S Nijjar, FNP-C

  • Family Nurse Practitioner
  • Roseville, CA
National Provider Identifier
1871041970
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95004702 Issued in CA
Practice address
1620 E Roseville Pkwy Ste 200
Roseville, CA 95661-3303
Phone
(916) 783-7109
NPI assigned
Sep 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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 95004702 CA Primary

Addresses

Primary practice location

1620 E Roseville Pkwy Ste 200
Roseville, CA 95661-3303

Mailing address

1620 E Roseville Pkwy Ste 200
Roseville, CA 95661-3303
Phone (916) 783-7109

Other practice location 1

1528 Eureka Rd Ste 102
Roseville, CA 95661-3047
Phone (916) 736-6644

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
I20210210002080 CA Practitioner - Nurse Practitioner 4385907872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2261 Douglas Blvd
Roseville, CA 95661-3831
Phone (916) 783-7109

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Dec 4, 2023 Accepting new patients
Regents of the University of California CurrentSince Dec 4, 2023 Accepting new patients
Essent PRMC LP Past Accepting new patients
Sutter North Medical Foundation PastSince Jan 1, 2021 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

10850 White Rock Rd
Rancho Cordova, CA 95670

1620 E Roseville Pkwy
Ste 200
Roseville, CA 95661
Phone (916) 771-0251

2261 Douglas Blvd
Roseville, CA 95661
Phone (916) 783-1044

Interoperability endpoints

  • Direct secure messaging: nnijjar354688@hisp.ehr.sutterhealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1474070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1871041970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 E ROSEVILLE PKWY STE 200",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613303",
            "telephone_number": "916-783-7109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 E ROSEVILLE PKWY STE 200",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613303",
            "telephone_number": "916-783-7109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1528 Eureka Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956613047",
            "country_code": "US",
            "telephone_number": "916-736-6644",
            "fax_number": "916-774-0143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIJJAR",
        "first_name": "NISHA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-17",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.