Mr Brian James Nakkerud-whiteside, RN, PMHFNPC - Medicare Nurse Practitioner in Santa Cruz, CA

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Mr Brian James Nakkerud-whiteside, RN, PMHFNPC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Santa Cruz, California. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice County Of Santa Cruz and his current practice location is 1400 Emeline Ave, Santa Cruz, California. You can reach out to his office (for appointments etc.) via phone at (831) 454-4170.

Mr Brian James Nakkerud-whiteside is licensed to practice in California (license number 23511) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1417205527.

Contact Information

Mr Brian James Nakkerud-whiteside, RN, PMHFNPC
1400 Emeline Ave,
Santa Cruz, CA 95060-1976
(831) 454-4170
(831) 454-4663

Map and Direction




Provider's Profile

Full NameMr Brian James Nakkerud-whiteside
GenderMale
SpecialityNurse Practitioner
Experience11 Years
Location1400 Emeline Ave, Santa Cruz, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Brian James Nakkerud-whiteside graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1417205527
  • Provider Enumeration Date: 08/21/2012
  • Last Update Date: 05/11/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 2961773627
  • Enrollment ID: I20170731000829

Medical Identifiers

Medical identifiers for Mr Brian James Nakkerud-whiteside such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417205527NPI-NPPES
ZZZ91891ZOtherCASANTA CRUZ COUNTY MEDICARE GROUP PTAN#
FHC70042FOtherCAMEDI-CAL PTAN GROUP#
ZZZ92069ZOtherCASANTA CRUZ COUNTY MEDICARE GROUP PTAN#
FHC70044FOtherCAMEDI-CAL PTAN GROUP#
ZZZ91892ZOtherCASANTA CRUZ COUNTY MEDICARE GROUP PTAN#

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 802020 (California)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 87055 (California)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 23511 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
County Of Santa Cruz761887291251

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Brian James Nakkerud-whiteside allows following entities to bill medicare on his behalf.
Entity NameCounty Of Santa Cruz
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659315430
PECOS PAC ID: 7618872912
Enrollment ID: O20031201000251

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Brian James Nakkerud-whiteside is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Brian James Nakkerud-whiteside, RN, PMHFNPC
1400 Emeline Ave,
Santa Cruz, CA 95060-1976

Ph: (831) 454-4170		Mr Brian James Nakkerud-whiteside, RN, PMHFNPC
1400 Emeline Ave,
Santa Cruz, CA 95060-1976

Ph: (831) 454-4170

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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