JESSICA RAY NUNNALLY
NPI 1073973368
Nurse Practitioner - Family in San Diego, CA

Q: What is Jessica Nunnally's NPI number?

The NPI number for Jessica Nunnally is 1073973368. It was assigned to this individual provider in the NPPES registry on February 29, 2016.

Q: What is Jessica Nunnally's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Nunnally was last updated on July 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.

Active since February 29, 2016PECOS Enrolled

3544 30TH ST, SAN DIEGO, CA 92104(619) 515-2424(619) 683-7570 Get Directions Write a Review

NPPES record last updated: July 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 19, 2018, Feb 15, 2017, Feb 29, 2016 (3 updates tracked since 2016).

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About Jessica Ray Nunnally NPPES

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

JESSICA RAY NUNNALLY (NPI 1073973368) is an individual family provider in San Diego, California, licensed in California (AG1215007) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073973368

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJESSICA RAY NUNNALLY

Location Address3544 30TH STSan Diego, CA 92104

Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541 · (619) 515-2300 · Fax (619) 906-4564

Phone(619) 515-2424

Fax(619) 683-7570

Sole ProprietorYes

Enumeration DateFebruary 29, 2016

Last NPPES UpdateJuly 19, 20183 updates tracked since enumeration

✔ NPI 1073973368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · AG1215007

3544 30TH ST, San Diego, CA 92104

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Other Identifiers 1

Other95003512CA · Lic

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Ray Nunnally 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

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