JENNIVY RAPANUT TABBAY
NPI 1093561664
Nurse Practitioner - Family in Oakland, CA

Active since April 25, 2024PECOS EnrolledAccepts Medicare Assignment
3100 TELEGRAPH AVE, OAKLAND, CA 94609(800) 607-6377 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennivy Rapanut Tabbay NPPES

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

JENNIVY RAPANUT TABBAY (NPI 1093561664) is an individual family provider in Oakland, California, licensed in California (95029417) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1093561664
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIVY RAPANUT TABBAY
Location Address3100 TELEGRAPH AVEOakland, CA 94609-3239
Mailing Address3100 Telegraph AveOakland, CA 94609-3239
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateApril 25, 2024
NPPES CertifiedApril 15, 2024
NPI 1093561664 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 · 95029417
3100 TELEGRAPH AVE, Oakland, CA 94609

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jennivy Rapanut Tabbay is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406383934
PECOS Enrollment IDI20241223002264
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 94609 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

Physician Assistant
3100 TELEGRAPH AVE
OAKLAND, CA 94609
Pharmacist
3100 TELEGRAPH AVE, SUITE 1100
OAKLAND, CA 94609
Student in an Organized Health Care Education/Training Program
3100 TELEGRAPH AVE
OAKLAND, CA 94609
Student in an Organized Health Care Education/Training Program
3100 TELEGRAPH AVE
OAKLAND, CA 94609
Nurse Anesthetist, Certified Registered
3100 TELEGRAPH AVE
OAKLAND, CA 94609
Physician Assistant
3100 TELEGRAPH AVE
OAKLAND, CA 94609
Physician Assistant
3100 TELEGRAPH AVE
OAKLAND, CA 94609
Nurse Anesthetist, Certified Registered
3100 TELEGRAPH AVE
OAKLAND, CA 94609

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 Jennivy Tabbay's NPI number?

The NPI number for Jennivy Tabbay is 1093561664. It was assigned to this individual provider in the NPPES registry on April 25, 2024.

Where is Jennivy Tabbay located?

Jennivy Tabbay practices at 3100 Telegraph Ave, Oakland, CA 94609. The listed phone number is (800) 607-6377.

What is Jennivy Tabbay's specialty?

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

Is Jennivy Tabbay enrolled in Medicare?

Yes. Jennivy Tabbay is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jennivy Tabbay was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.