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JILLIAN PENNELL RUTHERFORD PA-C
NPI 1255391884
Physician Assistant - Medical in Monterey, CA

Active since March 27, 2006Opted out of Medicare · through Jul 1, 2027
2 LOWER RAGSDALE DR STE 160, MONTEREY, CA 93940(831) 717-4687(831) 901-3160 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jillian Pennell Rutherford Pa-c NPPES

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

JILLIAN PENNELL RUTHERFORD PA-C (NPI 1255391884) is an individual medical provider in Monterey, California, licensed in Washington (PA10003965) and active in the NPI registry since March 2006. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1255391884
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJILLIAN PENNELL RUTHERFORDCredential: PA-C
Location Address2 LOWER RAGSDALE DR STE 160Monterey, CA 93940-5840
Mailing Address1850 El Camino Real Ste 200Burlingame, CA 94010-3102 · (650) 697-2431 · Fax (650) 697-3659
Phone(831) 717-4687
Fax(831) 901-3160
Sole ProprietorNo
Enumeration DateMarch 27, 2006
Last NPPES UpdateDecember 4, 2024
NPPES CertifiedDecember 4, 2024
✔ NPI 1255391884 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
License✔ Licensed in WA · PA10003965
2 LOWER RAGSDALE DR STE 160, Monterey, CA 93940
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jillian Pennell Rutherford Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2017 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2017
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 3

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

KATIE JEAN COBB PA-C
Physician Assistant
2 LOWER RAGSDALE DR STE 160
MONTEREY, CA 93940
Monterey County (661) 600-7384
MS. CHARLOTTE LUCY WYNNE JONES AG-ACNP
Nurse Practitioner (Acute Care)
2 LOWER RAGSDALE DR STE 160
MONTEREY, CA 93940
Monterey County (202) 906-9833
JASON LOWE PA-C
Physician Assistant
2 LOWER RAGSDALE DR STE 160
MONTEREY, CA 93940
Monterey County (831) 717-4687

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 Jillian Rutherford's NPI number?

The NPI number for Jillian Rutherford is 1255391884. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Where is Jillian Rutherford located?

Jillian Rutherford practices at 2 Lower Ragsdale Dr Ste 160, Monterey, CA 93940. The listed phone number is (831) 717-4687.

What is Jillian Rutherford's specialty?

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

Is Jillian Rutherford enrolled in Medicare?

No. Jillian Rutherford has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jillian Rutherford was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.