JENNY IDICULA
NPI 1083291637
Nurse Anesthetist, Certified Registered in San Diego, CA
About Jenny Idicula NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNY IDICULA (NPI 1083291637) is an individual nurse anesthetist, certified registered in San Diego, California, licensed in California (95002777) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains 7 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 7
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jenny Idicula is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
9Medicare enrollment records show Jenny Idicula reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Diego, CA 92103
- Reassigned Medicare billing, California enrollment
- 112 clinicians in this Medicare group
La Jolla, CA 92037
- Reassigned Medicare billing, California enrollment
- 27 clinicians in this Medicare group
Escondido, CA 92025
- Reassigned Medicare billing, California enrollment
- 33 clinicians in this Medicare group
Austin, TX 78748
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Psa Anesthesia PLLC
- 15 clinicians in this Medicare group
Austin, TX 78745
- Reassigned Medicare billing, Texas enrollment
- 175 clinicians in this Medicare group
Flower Mound, TX 75028
- Reassigned Medicare billing, Texas enrollment
- 60 clinicians in this Medicare group
Dallas, TX 75219
- Reassigned Medicare billing, Texas enrollment
- 495 clinicians in this Medicare group
Houston, TX 77042
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: U S Anesthesia Partners Of Texas, PA
- 3,804 clinicians in this Medicare group
Norway, ME 04268
- Reassigned Medicare billing, Maine enrollment
- 3,140 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Maine Medical Center
Acute Care Hospitals · Portland, MEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
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 Jenny Idicula's NPI number?
The NPI number for Jenny Idicula is 1083291637. It was assigned to this individual provider in the NPPES registry on March 28, 2021.
Where is Jenny Idicula located?
Jenny Idicula practices at 200 W Arbor Dr, San Diego, CA 92103. The listed phone number is (800) 926-8273.
What is Jenny Idicula's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jenny Idicula enrolled in Medicare?
Yes. Jenny Idicula is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jenny Idicula's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jenny Idicula reassigns Medicare benefits to 9 organizations: Regents Of The University Of California (San Diego, CA), La Jolla Anesthesia Associates LP (La Jolla, CA), Escondido Anesthesia Associates LP (Escondido, CA), Psa Ambulatory Surgical Center Of South Austin, LLC (Austin, TX), Austin Gastroenterology Anesthesia Associates PLLC (Austin, TX) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jenny Idicula's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jenny Idicula accept?
Health plans from Blue Cross and Blue Shield of Texas list Jenny Idicula as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Jenny Idicula affiliated with any hospitals?
According to CMS data, Jenny Idicula is affiliated with Maine Medical Center.
When was this NPI record last updated?
The NPPES record for Jenny Idicula was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jenny Idicula · NPI 1083291637
Nurse Anesthetist, Certified Registered physician in San Diego, California. Individual provider, active in the CMS NPPES registry since March 28, 2021.
## Identity
- **NPI:** 1083291637 (Entity type: Individual)
- **Enumerated:** March 28, 2021
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 95002777 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 W ARBOR DR, San Diego, CA 92103-9000
- **Phone:** (800) 926-8273 · **Fax:** (888) 539-8781
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Regents Of The University Of California (NPI 1265535702, San Diego, CA); La Jolla Anesthesia Associates LP (NPI 1649717737, La Jolla, CA); Escondido Anesthesia Associates LP (NPI 1588151120, Escondido, CA); Psa Ambulatory Surgical Center Of South Austin, LLC (NPI 1770223901, Austin, TX); Austin Gastroenterology Anesthesia Associates PLLC (NPI 1427405810, Austin, TX); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** R Franklin University Of Med & Sci/chicago Medical School, class of 2021
## Record status
- **NPPES last updated:** June 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1083291637) · Data from the CMS NPPES public registry.