JENNIFER DORAN ROCKSTROM MD
NPI 1174082234
Internal Medicine - Critical Care Medicine in San Diego, CA

Q: What is Jennifer Rockstrom's NPI number?

The NPI number for Jennifer Rockstrom is 1174082234. It was assigned to this individual provider in the NPPES registry on March 18, 2019. The provider is also known as Jennifer Alyse Doran.

Q: What is Jennifer Rockstrom's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Active since March 18, 2019PECOS Enrolled

97.58/100

CMS Quality Rating

200 W ARBOR DR # 8829, SAN DIEGO, CA 92103(619) 543-8254(619) 543-2990 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 26, 2026, Mar 10, 2026, Jun 7, 2022 and 1 more (4 updates tracked since 2019).

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About Jennifer Doran Rockstrom Md NPPES

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

JENNIFER DORAN ROCKSTROM MD (NPI 1174082234) is an individual critical care medicine provider in San Diego, California, licensed in California (A190255) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1174082234

Entity TypeIndividualFemale

Primary Taxonomy207RC0200X

Provider Legal NameJENNIFER DORAN ROCKSTROMCredential: MD

Location Address200 W ARBOR DR # 8829San Diego, CA 92103-1911

Mailing Address200 W Arbor Dr # 8829San Diego, CA 92103-1911 · (619) 543-8254

Phone(619) 543-8254

Fax(619) 543-2990

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 18, 2019

Last NPPES UpdateJune 30, 20264 updates tracked since enumeration

NPPES CertifiedJune 30, 2026

✔ NPI 1174082234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

Licenses✔ Licensed in CA · A190255✔ Licensed in ID · 5181811

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License A190255 (CA)

Also ListedHospitalistTaxonomy 208M00000X · License DR.0068775 (CO)

200 W ARBOR DR # 8829, San Diego, CA 92103

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Other Names 1

Former Name (1)Jennifer Alyse Doran

Secondary Practice Locations 3

Location 112605 E 16th AveAurora, CO 80045-2545 · Phone (720) 848-0000

Location 213001 E 17th PlAurora, CO 80045-2581 · Phone (303) 724-1792

Location 3700 W Ironwood Dr Ste 378Coeur D Alene, ID 83814-4401 · Phone (208) 625-3555 · Fax (208) 769-8616

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Doran Rockstrom Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436483146

PECOS Enrollment IDI20260901005142

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 Reassignment

Medicare enrollment records show Jennifer Rockstrom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kootenai Health, Inc.

1,031 mi

Psychiatry

2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814

Reassigned Medicare billing, Idaho enrollment
472 clinicians in this Medicare group

NPI 1174661151 (208) 625-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 7

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

NATALIA GARCIA PENALOZA

Student in an Organized Health Care Education/Training Program