STEPHANIE D JENNICHES NP
NPI 1114940988
Nurse Practitioner in Upland, CA

Q: What is Stephanie Jenniches's NPI number?

The NPI number for Stephanie Jenniches is 1114940988. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Q: What is Stephanie Jenniches's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since July 25, 2006PECOS Enrolled

999 SAN BERNARDINO RD, UPLAND, CA 91786(909) 985-2811(818) 587-2493 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Stephanie D Jenniches Np NPPES

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

STEPHANIE D JENNICHES NP (NPI 1114940988) is an individual nurse practitioner in Upland, California, licensed in California (NP9412) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114940988

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSTEPHANIE D JENNICHESCredential: NP

Location Address999 SAN BERNARDINO RDUpland, CA 91786-4920

Mailing AddressPo Box 4419Woodland Hills, CA 91365-4419 · (818) 340-9988 · Fax (818) 587-2493

Phone(909) 985-2811

Fax(818) 587-2493

Sole ProprietorNo

Enumeration DateJuly 25, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1114940988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · NP9412

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

999 SAN BERNARDINO RD, Upland, CA 91786

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Other Identifiers 3

Medicare ID-Type UnspecifiedZZZ32065ZCA

Medicare UPINP18633CA

MedicaidRN513294CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie D Jenniches Np 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 91786 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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.

STEPHANIE J RASMUSSEN NP

Nurse Practitioner