KYLE DAVID JASPER PMHNP MSN RN NPI 1962057281

NPI Information

  • NPI: 1962057281
  • Provider Name: KYLE DAVID JASPER, PMHNP, MSN, RN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11801 GO FOR BROKE RD
    ROSEVILLE, CA
    ZIP 95678
  • Phone: (916) 409-8261

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NPI Details

Kyle David Jasper, PMHNP, MSN, RN is a psychiatric/mental health nurse practitioner in Roseville, CA. Kyle David Jasper, PMHNP, MSN, RN NPI is 1962057281. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11801 GO FOR BROKE RD
ROSEVILLE, CA
ZIP 95678-055
Phone: (916) 409-8261

The NPI 1962057281 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Psychiatric diagnostic evaluation with medical services (HCPCS:90792)

The enumeration date for this NPI number is 8/4/2019 and was last updated on 8/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health95015599CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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