MISS ILSE JAZMIN TEJEDA PA, PA-C
NPI 1245879683
Physician Assistant - Medical in Turlock, CA

Q: What is Ilse Tejeda's NPI number?

The NPI number for Ilse Tejeda is 1245879683. It was assigned to this individual provider in the NPPES registry on January 2, 2020.

Q: What is Ilse Tejeda's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Ilse Tejeda was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 02, 2020PECOS Enrolled

94.62/100

CMS Quality Rating

415 E. OLIVE AVE STE 1, TURLOCK, CA 95380(209) 633-7402(209) 633-6168 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 22, 2021, Jan 2, 2020 (2 updates tracked since 2020).

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About Miss Ilse Jazmin Tejeda Pa, Pa-c NPPES

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

MISS ILSE JAZMIN TEJEDA PA, PA-C (NPI 1245879683) is an individual medical provider in Turlock, California and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245879683

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMISS ILSE JAZMIN TEJEDACredential: PA, PA-C

Location Address415 E. OLIVE AVE STE 1Turlock, CA 95380

Mailing Address415 E. Olive Ave Ste 1Turlock, CA 95380 · (209) 633-7402 · Fax (209) 633-6168

Phone(209) 633-7402

Fax(209) 633-6168

Sole ProprietorYes

Enumeration DateJanuary 2, 2020

Last NPPES UpdateMarch 22, 20212 updates tracked since enumeration

NPPES CertifiedMarch 22, 2021

✔ NPI 1245879683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

415 E. OLIVE AVE STE 1, Turlock, CA 95380

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Ilse Jazmin Tejeda Pa, Pa-c 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.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

74 services73 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

27 services27 patients

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.

94.62/100

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

Scored as part of a group practice

Quality

76.67

Improvement Activities

Cost

97.14

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 Ilse Tejeda's NPI number?

The NPI number for Ilse Tejeda is 1245879683. It was assigned to this individual provider in the NPPES registry on January 2, 2020.

Where is Ilse Tejeda located?

Ilse Tejeda practices at 415 E. Olive Ave Ste 1, Turlock, CA 95380. The listed phone number is (209) 633-7402.

What is Ilse Tejeda's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Ilse Tejeda enrolled in Medicare?

Yes. Ilse Tejeda is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ilse Tejeda was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.