1. Home
  2. Directory
  3. California
  4. Lakewood
  5. Nurse Practitioner
  6. NPI Profile

JENNIFER MIRANDA VICENTE NP
NPI 1235522483
Nurse Practitioner - Adult Health in Lakewood, CA

Active since March 12, 2015PECOS Enrolled
3300 E SOUTH ST STE 205, LAKEWOOD, CA 90805(562) 531-0377 Get Directions Write a Review

NPPES record last updated: March 12, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Miranda Vicente Np NPPES

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

JENNIFER MIRANDA VICENTE NP (NPI 1235522483) is an individual adult health provider in Lakewood, California, licensed in California (NP95002008) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235522483
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJENNIFER MIRANDA VICENTECredential: NP
Location Address3300 E SOUTH ST STE 205Lakewood, CA 90805-4587
Mailing Address6742 Glorywhite StLakewood, CA 90713-2222
Phone(562) 531-0377
Sole ProprietorNo
Enumeration DateMarch 12, 2015
✔ NPI 1235522483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CA · NP95002008
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License NP95002008 (CA)
3300 E SOUTH ST STE 205, Lakewood, CA 90805
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 (PECOS)

Jennifer Miranda Vicente 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 90805 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Jennifer Vicente's NPI number?

The NPI number for Jennifer Vicente is 1235522483. It was assigned to this individual provider in the NPPES registry on March 12, 2015.

Where is Jennifer Vicente located?

Jennifer Vicente practices at 3300 E South St Ste 205, Lakewood, CA 90805. The listed phone number is (562) 531-0377.

What is Jennifer Vicente's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jennifer Vicente enrolled in Medicare?

Yes. Jennifer Vicente is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Vicente was last updated on March 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.