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JACEY JEAN RODRIGUEZ-SERVA F.N.P.
NPI 1215255062
Nurse Practitioner - Family in Sonora, CA

Active since May 04, 2010PECOS EnrolledAccepts Medicare Assignment
79.22/100
CMS Quality Rating
690 GUZZI LN, STE C, SONORA, CA 95370(209) 532-1919(209) 533-0782 Get Directions Write a Review

NPPES record last updated: November 19, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacey Jean Rodriguez-serva F.n.p. NPPES

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

JACEY JEAN RODRIGUEZ-SERVA F.N.P. (NPI 1215255062) is an individual family provider in Sonora, California, licensed in California (19693) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1215255062
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACEY JEAN RODRIGUEZ-SERVACredential: F.N.P.
Location Address690 GUZZI LN, STE CSonora, CA 95370-5289
Mailing Address690 Guzzi Ln, Ste CSonora, CA 95370-5289 · (209) 532-1919 · Fax (209) 533-0782
Phone(209) 532-1919
Fax(209) 533-0782
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 4, 2010
Last NPPES UpdateNovember 19, 2015
✔ NPI 1215255062 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 CA · 19693
690 GUZZI LN, Sonora, CA 95370
Open in Google Maps ↗

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

Jacey Jean Rodriguez-serva F.n.p. 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 ID6608046149
PECOS Enrollment IDI20110819000230
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
660 services281 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
386 services158 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
269 services229 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
35 services33 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
33 services26 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
20 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95370 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

79.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.14
Promoting Interoperability97
Improvement Activities40
Cost47.11

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers128 claims276 services$6.01 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
12 suppliers56 claims63 services$1.02 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
7 suppliers1,044 claims1,045 services$186.75 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
4 suppliers59 claims59 services$201.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. JOHN FREDERICK SHIELD MD
Internal Medicine
690 GUZZI LN, SUITE A
SONORA, CA 95370
Tuolumne County (209) 536-5070
ADULT MEDICINE SPECIALISTS, INC
Internal Medicine
690 GUZZI LN, STE C
SONORA, CA 95370
Tuolumne County (209) 533-0333
NICKOLAS C DOBLER PA
Physician Assistant
690 GUZZI LN, SUITE B
SONORA, CA 95370
Tuolumne County (209) 536-5065
SONORA COMMUNITY HOSPITAL
Internal Medicine
690 GUZZI LN, SUITE A
SONORA, CA 95370
Tuolumne County (209) 536-5070
DR. DANIEL B PHILLIPS M.D.
Internal Medicine
690 GUZZI LN, SUITE C
SONORA, CA 95370
Tuolumne County (209) 533-0333
CLAIRE L MILLS FNP
Nurse Practitioner (Women's Health)
690 GUZZI LN, SUITE C
SONORA, CA 95370
Tuolumne County (209) 533-0333
CAROLEE A ROSS N.P.
Nurse Practitioner (Adult Health)
690 GUZZI LN, STE. C
SONORA, CA 95370
Tuolumne County (209) 533-0333

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 Jacey Rodriguez-serva's NPI number?

The NPI number for Jacey Rodriguez-serva is 1215255062. It was assigned to this individual provider in the NPPES registry on May 4, 2010.

Where is Jacey Rodriguez-serva located?

Jacey Rodriguez-serva practices at 690 Guzzi Ln Ste C, Sonora, CA 95370. The listed phone number is (209) 532-1919.

What is Jacey Rodriguez-serva's specialty?

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

Is Jacey Rodriguez-serva enrolled in Medicare?

Yes. Jacey Rodriguez-serva 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 Jacey Rodriguez-serva was last updated on November 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.