JAYME FELLORES AU.D.
NPI 1114274388
Audiologist in Santa Rosa, CA

Q: What is Jayme Fellores's NPI number?

The NPI number for Jayme Fellores is 1114274388. It was assigned to this individual provider in the NPPES registry on August 7, 2012.

Q: What is Jayme Fellores's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Q: When was this NPI record last updated?

The NPPES record for Jayme Fellores was last updated on August 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 August 07, 2012

1701 4TH ST, SUITE 120, SANTA ROSA, CA 95404(707) 523-7025 Get Directions Write a Review

NPPES record last updated: August 24, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Jayme Fellores Au.d. NPPES

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

JAYME FELLORES AU.D. (NPI 1114274388) is an individual audiologist in Santa Rosa, California and active in the NPI registry since August 2012. She is a graduate of Other (2012).

NPPES Registry Identity

NPI1114274388

Entity TypeIndividualFemale

Primary Taxonomy231H00000X

Provider Legal NameJAYME FELLORESCredential: AU.D.

Location Address1701 4TH ST, SUITE 120Santa Rosa, CA 95404-3658

Mailing Address1701 4th St, Suite 120Santa Rosa, CA 95404-3658

Phone(707) 523-7025

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateAugust 7, 2012

Last NPPES UpdateAugust 24, 2012

✔ NPI 1114274388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers

Taxonomy Code231H00000X

Definition

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

1701 4TH ST, Santa Rosa, CA 95404

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jayme Fellores Au.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123448016

PECOS Enrollment IDI20201014002853

Medicare Billing Reassignment

Medicare enrollment records show Jayme Fellores reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Regents Univ Of California Ucsf

49 mi

Internal Medicine

505 PARNASSUS AVE
San Francisco, CA 94143

Reassigned Medicare billing, California enrollment
339 clinicians in this Medicare group

NPI 1124439807 (415) 476-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Comprehensive hearing and speech recognition test 92557

A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.

295 services278 patients

Test to assess middle ear function 92567

A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.

152 services141 patients

Test for eardrum and muscle function 92550

This test assesses the health of your eardrum and muscles linked to hearing. A small device is placed in your ear that creates pressure changes and sounds. Your ear's responses are recorded to determine if they are functioning properly.

148 services145 patients

Other Providers at the Same Location NPPES 17

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

PAUL DOEY MCADAMS M. D.

Urology

1701 4TH ST, SUITE 200
SANTA ROSA, CA 95404

Sonoma County (707) 525-4051

DONA PIERANTONI BRUMBLEY RT (R) (CT)

Radiology (Diagnostic Radiology)

1701 4TH ST
SANTA ROSA, CA 95404

Sonoma County (707) 523-7025

STEFAN M ZECHOWY M.D.

Otolaryngology

1701 4TH ST, STE 120
SANTA ROSA, CA 95404

Sonoma County (707) 523-7025

BRIAN FREDERICK SCHMIDT M.D.

Surgery

1701 4TH ST, STE 200
SANTA ROSA, CA 95404

Sonoma County (707) 579-2100

JOHN B JARVIS PH.D.

Audiologist

1701 4TH ST, STE 120
SANTA ROSA, CA 95404

Sonoma County (707) 523-7025

ADAM GEOFFREY KAPLAN M.D.

Urology

1701 4TH ST, SUITE 200
SANTA ROSA, CA 95404

Sonoma County (707) 525-4051

NORTHERN CALIFORNIA MEDICAL ASSOC INC

Otolaryngology

1701 4TH ST, STE 120
SANTA ROSA, CA 95404

Sonoma County (707) 523-7025

ABDUL KEZIN HARRIS M.D.

Surgery

1701 4TH ST, STE 200
SANTA ROSA, CA 95404

Sonoma County (707) 579-2100

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 Jayme Fellores's NPI number?

The NPI number for Jayme Fellores is 1114274388. It was assigned to this individual provider in the NPPES registry on August 7, 2012.

Where is Jayme Fellores located?

Jayme Fellores practices at 1701 4th St Suite 120, Santa Rosa, CA 95404. The listed phone number is (707) 523-7025.

What is Jayme Fellores's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Jayme Fellores enrolled in Medicare?

Yes. Jayme Fellores is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jayme Fellores's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jayme Fellores reassigns Medicare benefits to Regents Univ Of California Ucsf (San Francisco, CA). The 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 Jayme Fellores's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jayme Fellores was last updated on August 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.