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MR. JESSIL JOSE NP
NPI 1164665311
Nurse Practitioner - Family in Roseville, CA

Active since April 16, 2009PECOS EnrolledAccepts Medicare Assignment
1528 EUREKA RD STE 102, ROSEVILLE, CA 95661(916) 736-6644(916) 774-0143 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mr. Jessil Jose Np NPPES

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

MR. JESSIL JOSE NP (NPI 1164665311) is an individual family provider in Roseville, California, licensed in Florida (9217835) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Florida Atlantic University, College Of Medicine (2008).

NPPES Registry Identity

NPI1164665311
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JESSIL JOSECredential: NP
Location Address1528 EUREKA RD STE 102Roseville, CA 95661-3047
Mailing Address1111 Exposition Blvd Bldg 700Sacramento, CA 95815-4314 · (916) 736-3399 · Fax (916) 736-3350
Phone(916) 736-6644
Fax(916) 774-0143
Sole ProprietorNo
Medical School CMSFlorida Atlantic University, College Of MedicineGraduated 2008
Enumeration DateApril 16, 2009
Last NPPES UpdateJuly 15, 2024
NPPES CertifiedJuly 15, 2024
✔ NPI 1164665311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 9217835
1528 EUREKA RD STE 102, Roseville, CA 95661
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1785 Hana Way Ste 102Folsom, CA 95630-3885 · Phone (916) 736-6644 · Fax (916) 774-0143
Location 21111 Exposition Blvd Bldg 700Sacramento, CA 95815-4314 · Phone (916) 736-3399 ext. 1125 · Fax (916) 736-3350
Location 3935 Reserve DrRoseville, CA 95678-1340 · Phone (916) 782-7758

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

Mr. Jessil Jose Np 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 ID7911433008
PECOS Enrollment IDI20241212002617
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 95661 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
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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 4

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

DR. MUDITA GOGNA M.D.
Allergy & Immunology
1528 EUREKA RD STE 102
ROSEVILLE, CA 95661
Placer County (916) 736-6644
DR. SHALIN PANDYA D.O.
Allergy & Immunology
1528 EUREKA RD STE 102
ROSEVILLE, CA 95661
Placer County (167) 366-6449
DR. ASHA KAUSHIK DESAI M.D.
Allergy & Immunology
1528 EUREKA RD STE 102
ROSEVILLE, CA 95661
Placer County (916) 736-3399
DR. MATTHEW STILES BOWDISH M.D.
Allergy & Immunology
1528 EUREKA RD STE 102
ROSEVILLE, CA 95661
Placer County (916) 736-6644

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 Jessil Jose's NPI number?

The NPI number for Jessil Jose is 1164665311. It was assigned to this individual provider in the NPPES registry on April 16, 2009.

Where is Jessil Jose located?

Jessil Jose practices at 1528 Eureka Rd Ste 102, Roseville, CA 95661. The listed phone number is (916) 736-6644.

What is Jessil Jose's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jessil Jose enrolled in Medicare?

Yes. Jessil Jose 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 Jessil Jose was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.