JENNIFER ALAINE KERECMANMARTIN MSW
NPI 1265628770
Counselor - Mental Health in Auburn, CA
About Jennifer Alaine Kerecmanmartin Msw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER ALAINE KERECMANMARTIN MSW (NPI 1265628770) is an individual mental health provider in Auburn, California, licensed in California (82517) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jennifer Alaine Kerecmanmartin Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jennifer Kerecmanmartin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Kerecmanmartin's NPI number?
The NPI number for Jennifer Kerecmanmartin is 1265628770. It was assigned to this individual provider in the NPPES registry on September 18, 2007. The provider is also known as Jennifer A Kerecman.
Where is Jennifer Kerecmanmartin located?
Jennifer Kerecmanmartin practices at 950 Shadow Rock Dr, Auburn, CA 95602. The listed phone number is (916) 398-0454.
What is Jennifer Kerecmanmartin's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jennifer Kerecmanmartin enrolled in Medicare?
Yes. Jennifer Kerecmanmartin is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jennifer Kerecmanmartin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Kerecmanmartin reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, 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 Jennifer Kerecmanmartin'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 Jennifer Kerecmanmartin was last updated on August 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jennifer Alaine Kerecmanmartin, MSW · NPI 1265628770
Mental Health provider in Auburn, California. Individual provider, active in the CMS NPPES registry since September 18, 2007.
## Identity
- **NPI:** 1265628770 (Entity type: Individual)
- **Enumerated:** September 18, 2007
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 82517 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 950 SHADOW ROCK DR, Auburn, CA 95602-8446
- **Phone:** (916) 398-0454
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1265628770) · Data from the CMS NPPES public registry.