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JENNIFER EMILY MUSTARD PA
NPI 1063960268
Physician Assistant - Medical in Oakland, CA

Active since September 15, 2016PECOS Enrolled
97.83/100
CMS Quality Rating
744 52ND ST STE 4100, OAKLAND, CA 94609(510) 428-3022 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 29, 2020, Aug 31, 2018, Sep 15, 2016 (3 updates tracked since 2016).

About Jennifer Emily Mustard Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER EMILY MUSTARD PA (NPI 1063960268) is an individual medical provider in Oakland, California, licensed in California (PA60336) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063960268
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJENNIFER EMILY MUSTARDCredential: PA
Location Address744 52ND ST STE 4100Oakland, CA 94609-1810
Mailing Address744 52nd St Ste 4100Oakland, CA 94609-1810 · (510) 428-3022
Phone(510) 428-3022
Sole ProprietorNo
Enumeration DateSeptember 15, 2016
Last NPPES UpdateOctober 16, 20243 updates tracked since enumeration
NPPES CertifiedOctober 16, 2024
✔ NPI 1063960268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in CA · PA60336✔ Licensed in OR · PA188794
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA188794 (OR)
744 52ND ST STE 4100, Oakland, CA 94609
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Emily Mustard Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.97
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELIQUE CHAMPEAU HINDS CPNP
Nurse Practitioner (Pediatrics)
744 52ND ST STE 4100
OAKLAND, CA 94609
Alameda County (510) 428-3402

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Mustard's NPI number?

The NPI number for Jennifer Mustard is 1063960268. It was assigned to this individual provider in the NPPES registry on September 15, 2016.

Where is Jennifer Mustard located?

Jennifer Mustard practices at 744 52nd St Ste 4100, Oakland, CA 94609. The listed phone number is (510) 428-3022.

What is Jennifer Mustard's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jennifer Mustard enrolled in Medicare?

Yes. Jennifer Mustard is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Mustard was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.