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JESSICA HOLUM
NPI 1164084406
Physician Assistant in Sacramento, CA

Active since July 08, 2019PECOS EnrolledAccepts Medicare Assignment
2570 48TH ST, SACRAMENTO, CA 95817(916) 734-2145 Get Directions Write a Review

NPPES record last updated: July 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Holum NPPES

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

JESSICA HOLUM (NPI 1164084406) is an individual physician assistant in Sacramento, California and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (2019).

NPPES Registry Identity

NPI1164084406
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJESSICA HOLUM
Location Address2570 48TH STSacramento, CA 95817-1541
Mailing Address2570 48th StSacramento, CA 95817-1541
Phone(916) 734-2145
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2019
Enumeration DateJuly 8, 2019
✔ NPI 1164084406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2570 48TH ST, Sacramento, CA 95817
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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

Jessica Holum 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 ID1254742679
PECOS Enrollment IDI20201116001456
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 95817 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
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.

SUMON JOHNSON NP
Nurse Practitioner
2570 48TH ST
SACRAMENTO, CA 95817
Sacramento County (916) 734-2145
YOSELINNE RANGEL MONTOYA
Student in an Organized Health Care Education/Training Program
2570 48TH ST
SACRAMENTO, CA 95817
Sacramento County (916) 734-2145
NOREEN SHAIKH
Student in an Organized Health Care Education/Training Program
2570 48TH ST
SACRAMENTO, CA 95817
Sacramento County (415) 939-4144
KARANVIR DHANOA
Student in an Organized Health Care Education/Training Program
2570 48TH ST
SACRAMENTO, CA 95817
Sacramento County (510) 516-5569
TRAN BAO HUYNH
Student in an Organized Health Care Education/Training Program
2570 48TH ST
SACRAMENTO, CA 95817
Sacramento County (916) 734-2145
SOFIIA LYTVYNIUK
Student in an Organized Health Care Education/Training Program
2570 48TH ST
SACRAMENTO, CA 95817
Sacramento County (916) 734-2145
DIANA ROMERO
Student in an Organized Health Care Education/Training Program
2570 48TH ST
SACRAMENTO, CA 95817
Sacramento County (925) 389-2587
SABRINA GRACE BELLAR
Student in an Organized Health Care Education/Training Program
2570 48TH ST
SACRAMENTO, CA 95817
Sacramento County (916) 734-2145

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 Jessica Holum's NPI number?

The NPI number for Jessica Holum is 1164084406. It was assigned to this individual provider in the NPPES registry on July 8, 2019.

Where is Jessica Holum located?

Jessica Holum practices at 2570 48th St, Sacramento, CA 95817. The listed phone number is (916) 734-2145.

What is Jessica Holum's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jessica Holum enrolled in Medicare?

Yes. Jessica Holum 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 Jessica Holum was last updated on July 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.