MR. JESSIE SUMNER PA-C
NPI 1346351764
Physician Assistant in Madera, CA

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
1130 COUNTRY CLUB DR STE E, MADERA, CA 93638(559) 664-4000(559) 615-5224 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2024, Feb 21, 2019 (2 updates tracked since 2019).

About Mr. Jessie Sumner Pa-c NPPES

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

MR. JESSIE SUMNER PA-C (NPI 1346351764) is an individual physician assistant in Madera, California, licensed in California (PA13433) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1346351764
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JESSIE SUMNERCredential: PA-C
Location Address1130 COUNTRY CLUB DR STE EMadera, CA 93638-2691
Mailing Address344 E 6th StMadera, CA 93638-3631 · (559) 664-4000 · Fax (559) 675-5224
Fax(559) 615-5224
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateAugust 31, 2006
Last NPPES UpdateApril 23, 20242 updates tracked since enumeration
NPPES CertifiedApril 23, 2024
NPI 1346351764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in CA · PA13433 Licensed in CA · 1028699
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1130 COUNTRY CLUB DR STE E, Madera, CA 93638

Secondary Practice Locations 2

Location 1505 E Almond Ave Ste 101Madera, CA 93637-5745 · Phone (559) 664-4000 · Fax (559) 675-5661
Location 2344 E 6th StMadera, CA 93638-3631 · Phone (559) 664-4000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Jessie Sumner Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527212539
PECOS Enrollment IDI20130128000565
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 93638 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
15 suppliers65 claims121 services$4.53 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers20 claims29 services$0.82 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers19 claims19 services$196.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Clinic/Center (Federally Qualified Health Center (FQHC))
1130 COUNTRY CLUB DR STE E
MADERA, CA 93638
Physician Assistant (Medical)
1130 COUNTRY CLUB DR STE E
MADERA, CA 93638
Nurse Practitioner (Family)
1130 COUNTRY CLUB DR STE E
MADERA, CA 93638

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 Jessie Sumner's NPI number?

The NPI number for Jessie Sumner is 1346351764. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Jessie Sumner located?

Jessie Sumner practices at 1130 Country Club Dr Ste E, Madera, CA 93638. The listed phone number is (559) 664-4000.

What is Jessie Sumner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jessie Sumner enrolled in Medicare?

Yes. Jessie Sumner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jessie Sumner was last updated on April 23, 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.