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Active NPI 1235845181 Individual Practitioner Male Practitioner

Micky Kammerer , FNP-C

Nurse Practitioner • Lodi, CA

Professional Overview & Biography Verified Profile Summary

Micky Kammerer, FNP-C is a registered healthcare professional specializing in Nurse Practitioner in Lodi, CA. Practice services are available at 777 S. HAM LANE STE M under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

777 S. Ham Lane Ste M

Lodi, CA 95242

Telephone 2093369339
Fax 2092245921

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Lodi, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.3 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
14 Specialists

Practicing in Lodi, CA (8378 Statewide)

Telehealth Adoption Rate
21.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-01-16
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA 95024009

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location March 07, 2024

Registered at 777 S. HAM LANE STE M, LODI, CA 95242 (Tel: 2093369339)

📍
Updated Business Mailing Address March 07, 2024

Registered at 777 S. HAM LANE STE M, LODI, CA 95242 (Tel: 2093369339)

👤
Provider Name / Credentials Updated March 07, 2024

Recorded as MICKY KAMMERER, FNP-C

NPI Profile Active January 24, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location January 24, 2023

Registered at 310 S CRESCENT AVE STE B, LODI, CA 952403933 (Tel: 1209327152)

📍
Updated Business Mailing Address January 24, 2023

Registered at 1087 W SARGENT RD, LODI, CA 952429201 (Tel: 2093271528)

👤
Provider Name / Credentials Updated January 24, 2023

Recorded as MICKY KAMMERER, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2023

Nurse Practitioner (License #95024009 in CA)

🟢
Initial NPI Registration & Enumeration January 24, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235845181
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 24, 2023
Last Update: March 07, 2024
Sole Proprietor: Yes

Mailing Address

777 S. Ham Lane Ste M

Lodi, CA 95242

Phone: 2093369339

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.