MRS. JESSICA NICOLLE
NPI 1376435305
Nurse Practitioner - Family in Upland, CA
About Mrs. Jessica Nicolle NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JESSICA NICOLLE (NPI 1376435305) is an individual family provider in Upland, California, licensed in California (NP95035350) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Highland, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Jessica Nicolle 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jessica Nicolle reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Redlands, CA 92373
- Reassigned Medicare billing, California enrollment
- 635 clinicians in this Medicare group
Tustin, CA 92780
- Reassigned Medicare billing, California enrollment
- 2,052 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91786 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
UPLAND, CA 91786
UPLAND, CA 91786
UPLAND, CA 91786
UPLAND, CA 91786
UPLAND, CA 91786
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 Jessica Nicolle's NPI number?
The NPI number for Jessica Nicolle is 1376435305. It was assigned to this individual provider in the NPPES registry on July 15, 2025. The provider is also known as Jessica Veldhuis.
Where is Jessica Nicolle located?
Jessica Nicolle practices at 999 San Bernardino Rd, Upland, CA 91786. The listed phone number is (909) 985-2811.
What is Jessica Nicolle's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jessica Nicolle enrolled in Medicare?
Yes. Jessica Nicolle 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.
Which organizations bill Medicare for Jessica Nicolle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Nicolle reassigns Medicare benefits to 2 organizations: Beaver Medical Group P C (Redlands, CA) and Healthcare Partners Affiliates Medical Group (Tustin, CA). Each 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 Jessica Nicolle'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 Jessica Nicolle was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Mrs. Jessica Nicolle · NPI 1376435305
Family physician in Upland, California. Individual provider, active in the CMS NPPES registry since July 15, 2025.
## Identity
- **NPI:** 1376435305 (Entity type: Individual)
- **Enumerated:** July 15, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** NP95035350 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 999 SAN BERNARDINO RD, Upland, CA 91786-4920
- **Phone:** (909) 985-2811
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Beaver Medical Group P C (NPI 1649503319, Redlands, CA); Healthcare Partners Affiliates Medical Group (NPI 1891981502, Tustin, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** September 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1376435305) · Data from the CMS NPPES public registry.