Keith Judelman, FNP, RN, EAMP
NPI 1104134386 · Family Nurse Practitioner · Sacramento, CA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Keith Judelman, FNP, RN, EAMP is a Family Nurse Practitioner provider in Sacramento, CA (NPI 1104134386).
Provider details
- NPI number
- 1104134386
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP, RN, EAMP
- Sex
- Male
- Sole proprietor
- No
- License
- 60133669 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Other Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 4110 Stone Way NSte 1Seattle, WA 98103-8000Phone: (206) 419-3868
Registry dates
- Enumerated
- 2010-09-21
- Last updated
- 2020-12-17
- Certified
- 2020-12-17
Frequently asked questions
- What is Keith Judelman's NPI number?
- Keith Judelman's National Provider Identifier (NPI) is 1104134386, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keith Judelman's specialty?
- Keith Judelman is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Keith Judelman located?
- Keith Judelman's practice location on file with NPPES is 1500 21st St, Sacramento, CA 95811.
- What is Keith Judelman's phone number?
- The practice phone number listed in the NPPES registry for Keith Judelman is (916) 443-3299.
- Does Keith Judelman accept Medicare?
- Keith Judelman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Keith Judelman's NPI active?
- Yes — Keith Judelman's NPI (1104134386) is active in the NPPES registry as of the last update on 2020-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.