JENNIFER OBANA CRNP
NPI 1114368628
Nurse Practitioner - Family in San Diego, CA

Q: What is Jennifer Obana's NPI number?

The NPI number for Jennifer Obana is 1114368628. It was assigned to this individual provider in the NPPES registry on July 12, 2013.

Q: What is Jennifer Obana'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 Jennifer Obana was last updated on March 17, 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 July 12, 2013PECOS Enrolled

8765 AERO DR STE 130, SAN DIEGO, CA 92123(858) 541-0181 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2018, Aug 4, 2017, Jul 26, 2017 (3 updates tracked since 2017).

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About Jennifer Obana Crnp NPPES

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

JENNIFER OBANA CRNP (NPI 1114368628) is an individual family provider in San Diego, California, licensed in California (95006472) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Northampton.

NPPES Registry Identity

NPI1114368628

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJENNIFER OBANACredential: CRNP

Location Address8765 AERO DR STE 130San Diego, CA 92123-1767

Mailing Address8765 Aero Dr, Ste 130San Diego, CA 92123-1767 · (858) 541-0181 · Fax (858) 637-9035

Phone(858) 541-0181

Sole ProprietorNo

Enumeration DateJuly 12, 2013

Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration

✔ NPI 1114368628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

Licenses✔ Licensed in CA · 95006472✔ Licensed in PA · SP013818

Also ListedRegistered NurseTaxonomy 163W00000X · License 95022822 (CA), RN654334 (PA)

8765 AERO DR STE 130, San Diego, CA 92123

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Secondary Practice Location 1

Location 144 W 21st StNorthampton, PA 18067-1221 · Phone (610) 261-0999 · Fax (610) 261-2187

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Obana Crnp 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 Billing Reassignments

Medicare enrollment records show Jennifer Obana reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ken Roth MD & Rolf Ehlers MD San Diego Internal Medicine Assoc

Same address

Adolescent Medicine

8765 AERO DRIVE, SUITE 130
San Diego, CA 92123

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

NPI 1578657383 (858) 541-0181

Focus On Health Inc

Same address

General Practice

8765 AERO DR STE 130
San Diego, CA 92123

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

NPI 1497450530 (858) 541-0181

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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

22 services21 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

21 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92123 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 12

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

MADHUSREE SINGH M.D.

Internal Medicine