Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1134747306 Deactivated / Inactive NPI Female Practitioner

Poline Chhun Engeman , NP

Nurse Practitioner • Sacramento, CA

✓ Accepts Medicare Assignment Telehealth Available
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Poline Engeman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 13, 2020
NPI Deactivation Date November 11, 2023
Total Practice Duration ~3 Years of Practice (2020 – 2023)

Professional Overview & Biography Verified Profile Summary

Poline Engeman, NP was a registered Nurse Practitioner practicing in Sacramento, CA. Throughout an active medical career spanning 3 years, Poline Engeman provided care at the practice location at 6600 BRUCEVILLE RD until profile deactivation on 2023-11-11.

Poline Engeman was affiliated with Permanente Medical Group Inc and accepted Medicare assignment . Telehealth and virtual consultation options were offered for eligible patients.

Practice Location & Contact Primary Location

Practice Address

6600 Bruceville Rd

Sacramento, CA 958234671

Telephone 9166882520
Associated Practice Facility / Clinic
🏢 Kaiser Foundation Hospitals Facility NPI 1528138088

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Sacramento, CA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -5.2 yrs vs City Avg
City Avg: 11.2 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
256 Specialists

Practicing in Sacramento, CA (8378 Statewide)

Telehealth Adoption Rate
14.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Engeman (6 Years) 6 Yrs
Sacramento Specialty Average (11.2 Years) 11.2 Yrs

Medical Specialties & State Licenses

CMS Verified: 2020-07-13
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA 95014558

(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.

Hospital & Practice Group Affiliations

Permanente Medical Group Inc

6600 Bruceville Rd, Sacramento, CA 958234671

Phone: 9166882000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Anne Mossberg , CRNA

Nurse Anesthetist, Certified Registered

NPI 1629139639

Certified Registered Nurse Anesthetist

Brad Vizcarra , CRNA

Nurse Anesthetist, Certified Registered

NPI 1689910135

Certified Registered Nurse Anesthetist

Dr. Mukesh Sahu , MD

Anesthesiology

NPI 1902943053

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location November 24, 2023

Registered at 6600 BRUCEVILLE RD, SACRAMENTO, CA 958234671 (Tel: 9166882520)

📍
Updated Business Mailing Address November 24, 2023

Registered at 5900 SHEPARD AVE, SACRAMENTO, CA 958192540 (Tel: 2094711549)

👤
Provider Name / Credentials Updated November 24, 2023

Recorded as POLINE ENGEMAN, NP

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

Nurse Practitioner (License #95014558 in CA)

⚠️
NPI Profile Deactivated November 11, 2023

Record deactivated on November 11, 2023

NPI Profile Active July 13, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 13, 2020

Registered at 6600 BRUCEVILLE RD, SACRAMENTO, CA 958234671 (Tel: 9166882520)

📍
Updated Business Mailing Address July 13, 2020

Registered at 5900 SHEPARD AVE, SACRAMENTO, CA 958192540 (Tel: 2094711549)

👤
Provider Name / Credentials Updated July 13, 2020

Recorded as POLINE ENGEMAN, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2020

Nurse Practitioner (License #95014558 in CA)

🟢
Initial NPI Registration & Enumeration July 13, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Poline Engeman. Be the first to share your experience!

Sign in to leave a review for Poline Engeman

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1134747306
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2020
Last Update: November 24, 2023
Deactivation Date: November 11, 2023
Sole Proprietor: No

Mailing Address

5900 Shepard Ave

Sacramento, CA 958192540

Phone: 2094711549

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.