Individual provider Active NPI

Nicole Lee Culman, D.O.

  • Family Medicine Physician
  • Sacramento, CA
National Provider Identifier
1962741504
Registry record updated Feb 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A12618 Issued in CA
Practice address
7601 Hospital Dr Ste 103
Sacramento, CA 95823-5408
Phone
(916) 681-1600
Fax
(916) 688-0226
NPI assigned
Feb 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A12618 CA Primary

Addresses

Primary practice location

7601 Hospital Dr Ste 103
Sacramento, CA 95823-5408

Mailing address

7601 Hospital Dr Ste 103
Sacramento, CA 95823-5408
Phone (916) 681-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150708002772 OH Practitioner - HospitalistPractitioner - Family Practice 4981916624 Reassigns benefits to 2 organizations
I20250430001982 OR Practitioner - Family Practice 4981916624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bend Memorial Clinic PCGroup PAC ID 7214936533, 225 clinicians

Practice addresses (Care Compare)

333 NW Larch Ave
Suite 2
Redmond, OR 97756-1186
Phone (541) 382-4900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A12618CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bend Memorial Clinic PC Family Medicine Current Accepting new patients
Hospitalist Medicine Physicians of Richland County, LTD Family Medicine CurrentSince Jun 1, 2016 Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Family Medicine CurrentSince Mar 1, 2020 Accepting new patients
Bend Memorial Clinic PC CurrentSince Apr 1, 2025 Accepting new patients

Locations

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

1501 NE Medical Center Dr
Bend, OR 97701
Phone (541) 317-4354

333 NW Larch Ave
Ste 2
Redmond, OR 97756
Phone (541) 382-4900

Interoperability endpoints

  • Direct secure messaging: nculman22584@directmsg.bmctotalcare.com

Organizations & group practices 4

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 4

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": "1359676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359676800000",
    "number": "1962741504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 HOSPITAL DR STE 103",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235408",
            "telephone_number": "916-681-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 HOSPITAL DR STE 103",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235408",
            "telephone_number": "916-681-1600",
            "fax_number": "916-688-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULMAN",
        "first_name": "NICOLE",
        "middle_name": "LEE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-01",
        "last_updated": "2013-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A12618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.