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

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: July 26, 2026.

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
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

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.

Nurse Practitioner
999 SAN BERNARDINO RD
UPLAND, CA 91786
Registered Nurse (Registered Nurse First Assistant)
999 SAN BERNARDINO RD
UPLAND, CA 91786
Emergency Medicine
999 SAN BERNARDINO RD
UPLAND, CA 91786
Student in an Organized Health Care Education/Training Program
999 SAN BERNARDINO RD
UPLAND, CA 91786
Hospitalist
999 SAN BERNARDINO RD
UPLAND, CA 91786
Pathology (Anatomic Pathology & Clinical Pathology)
999 SAN BERNARDINO RD
UPLAND, CA 91786
Student in an Organized Health Care Education/Training Program
999 SAN BERNARDINO RD
UPLAND, CA 91786
Pathology (Anatomic Pathology & Clinical Pathology)
999 SAN BERNARDINO RD
UPLAND, CA 91786

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 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.

Where is Stephanie Jenniches located?

Stephanie Jenniches practices at 999 San Bernardino Rd, Upland, CA 91786. The listed phone number is (909) 985-2811.

What is Stephanie Jenniches's specialty?

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

Is Stephanie Jenniches enrolled in Medicare?

Yes. Stephanie Jenniches is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephanie Jenniches was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.