NICOLE JENSEN MD
NPI 1366979817
Family Medicine in Charlottesville, VA

Q: What is Nicole Jensen's NPI number?

The NPI number for Nicole Jensen is 1366979817. It was assigned to this individual provider in the NPPES registry on May 16, 2017.

Q: What is Nicole Jensen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Jensen was last updated on October 13, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 16, 2017PECOS EnrolledAccepts Medicare Assignment

375 FOUR LEAF LN STE 103, CHARLOTTESVILLE, VA 22903(434) 243-0700(434) 243-0680 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 13, 2020, Jul 27, 2020, May 16, 2017 (3 updates tracked since 2017).

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About Nicole Jensen Md NPPES

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

NICOLE JENSEN MD (NPI 1366979817) is an individual family medicine provider in Charlottesville, Virginia, licensed in Virginia (0101269111) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Sentara Martha Jefferson Hospital, and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1366979817

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameNICOLE JENSENCredential: MD

Location Address375 FOUR LEAF LN STE 103Charlottesville, VA 22903-6905

Mailing AddressPo Box 9007Charlottesville, VA 22906-9007 · (434) 295-1000 · Fax (434) 972-4266

Phone(434) 243-0700

Fax(434) 243-0680

Sole ProprietorNo

Medical School CMSState University Of New York Downstate Medical CenterGraduated 2017

Enumeration DateMay 16, 2017

Last NPPES UpdateOctober 13, 20203 updates tracked since enumeration

NPPES CertifiedOctober 13, 2020

✔ NPI 1366979817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in VA · 0101269111

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

375 FOUR LEAF LN STE 103, Charlottesville, VA 22903

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Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-0816 · Phone (434) 924-5348 · Fax (434) 924-5348

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

Nicole Jensen Md 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 ID1052682234

PECOS Enrollment IDI20200811000008

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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

90 services43 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

59 services43 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

41 services24 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

29 services29 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sentara Martha Jefferson Hospital

Acute Care Hospitals · Charlottesville, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490077

Location500 Martha Jefferson DriveCharlottesville, VA 22911 · Albemarle County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22903 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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 12

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

RACHEL HAYS M.D.

Internal Medicine (Gastroenterology)