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JESSICA FERNANDEZ NP
NPI 1245806850
Nurse Practitioner - Family in Davis, CA

Active since June 03, 2021PECOS Enrolled
1 SHIELDS AVE, DAVIS, CA 95616(530) 752-1035(707) 754-5842 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 26, 2022, Sep 21, 2022, Aug 27, 2021 and 2 more (5 updates tracked since 2021).

About Jessica Fernandez Np NPPES

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

JESSICA FERNANDEZ NP (NPI 1245806850) is an individual family provider in Davis, California, licensed in California (95014983) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245806850
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA FERNANDEZCredential: NP
Location Address1 SHIELDS AVEDavis, CA 95616-5200
Mailing Address949 33rd StSacramento, CA 95816-4410 · (818) 825-0264
Phone(530) 752-1035
Fax(707) 754-5842
Sole ProprietorNo
Enumeration DateJune 3, 2021
Last NPPES UpdateSeptember 26, 20225 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2022
✔ NPI 1245806850 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 · 95014983
1 SHIELDS AVE, Davis, CA 95616
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Fernandez 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.

Medicare Billing Reassignment

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

County Of Sacramento
19 mi
Federally Qualified Health Center (FQHC)
4600 BROADWAY, SUITE 1100
Sacramento, CA 95820
  • Reassigned Medicare billing, California enrollment
  • 135 clinicians in this Medicare group
NPI 1366513061 (916) 874-9670

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 95616 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 20

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

DR. JOHN IBARRA M.D.
Specialist
1 SHIELDS AVE
DAVIS, CA 95616
Yolo County (530) 752-2300
MIKA BROWN
Counselor (Mental Health)
1 SHIELDS AVE
DAVIS, CA 95616
Yolo County (530) 752-2300
NAOMI SAKAI
Psychologist (Counseling)
1 SHIELDS AVE, CAPS, 219 NORTH HALL, UNIVERSITY OF CALIFORNIA, DAVIS
DAVIS, CA 95616
Yolo County (530) 752-5665
RACHAEL MACK RD
Dietitian, Registered (Nutrition, Sports Dietetics)
1 SHIELDS AVE
DAVIS, CA 95616
Yolo County (530) 304-2104
DR. TATUM K PHAN PH.D.
Psychologist (Counseling)
1 SHIELDS AVE, STUDENT HEALTH & COUNSELING SERVICES - UC DAVIS
DAVIS, CA 95616
Yolo County (530) 752-0871
ERIC SALES MD
Pediatrics (Sports Medicine)
1 SHIELDS AVE
DAVIS, CA 95616
Yolo County (530) 752-8356
UC DAVIS STUDENT HEALTH AND COUNSELING SERVICES
Clinic/Center (Student Health)
1 SHIELDS AVE, SHCS
DAVIS, CA 95616
Yolo County (530) 752-2300
DR. OLIVIA ALISON KNIZEK PH.D.
Psychologist (Counseling)
1 SHIELDS AVE
DAVIS, CA 95616
Yolo County (530) 752-0871

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 Fernandez's NPI number?

The NPI number for Jessica Fernandez is 1245806850. It was assigned to this individual provider in the NPPES registry on June 3, 2021.

Where is Jessica Fernandez located?

Jessica Fernandez practices at 1 Shields Ave, Davis, CA 95616. The listed phone number is (530) 752-1035.

What is Jessica Fernandez's specialty?

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

Is Jessica Fernandez enrolled in Medicare?

Yes. Jessica Fernandez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Fernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Fernandez reassigns Medicare benefits to County Of Sacramento (Sacramento, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Fernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Fernandez was last updated on September 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.