Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gasong Yun Nickerson

Individual provider Family Nurse Practitioner · NPI 1962877282

Gasong Yun Nickerson is a Nurse Practitioner in Sacramento, California. Qualified in 2015, 11 years ago. Practices with Sutter Valley Medical Foundation, a 2,464-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and New York.

Years since qualifying
11
Licensed in
CA, NY
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

2800 L St Ste 500
Sacramento, CA 95816-5616
Phone: (916) 454-6850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95004720 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F340096 (NY)

Record details

NPI number1962877282
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 11, 2015
Last updated in NPPESOctober 2, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Sutter Valley Medical Foundation — 2464 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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