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Skyler Ingemansson, PA-C

Physician Assistant, Medical in Roseville, CA. Individual provider (NPI-1).

NPI number1942548482
StatusActive
Last updated in NPPESApr 28, 2015

Details

NPI
1942548482
Entity type
Individual (NPI-1)
Name
Skyler Ingemansson
Credential
PA-C
Sex
Male
Sole proprietor
No
Enumeration date
Jan 17, 2013
Last updated
Apr 28, 2015

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICIAN ASSISTANT
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, Medical22784CAYes

Practice location

151 N Sunrise Ave
Roseville, CA 95661-2924

Phone 916-782-1217 · Fax 916-782-7630

Mailing address

308 Katarina Ln
Folsom, CA 95630-7197

Phone 415-305-8905

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Medical Physician Assistant providers in Roseville, CA

All 23 Medical Physician Assistant providers in Roseville · All 6,478 providers in Roseville

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