MRS. JESSICA NICOLLE
NPI 1376435305
Nurse Practitioner - Family in Upland, CA

Active since July 15, 2025PECOS EnrolledAccepts Medicare Assignment
999 SAN BERNARDINO RD, UPLAND, CA 91786(909) 985-2811 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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

NPI1376435305
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JESSICA NICOLLE
Location Address999 SAN BERNARDINO RDUpland, CA 91786-4920
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (619) 729-2158
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 15, 2025
Last NPPES UpdateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
NPI 1376435305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · NP95035350
999 SAN BERNARDINO RD, Upland, CA 91786

Other Names 1

Former Name (1)Jessica Veldhuis

Secondary Practice Location 1

Location 17000 Boulder AveHighland, CA 92346-3348 · Phone (909) 862-1191

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

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.

PECOS PAC ID244728640
PECOS Enrollment IDI20251017003822
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 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.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 20

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

Nurse Practitioner
999 SAN BERNARDINO RD
UPLAND, CA 91786
Registered Nurse (Registered Nurse First Assistant)
999 SAN BERNARDINO RD
UPLAND, CA 91786
Emergency Medicine
999 SAN BERNARDINO RD
UPLAND, CA 91786
Student in an Organized Health Care Education/Training Program
999 SAN BERNARDINO RD
UPLAND, CA 91786
Hospitalist
999 SAN BERNARDINO RD
UPLAND, CA 91786
Pathology (Anatomic Pathology & Clinical Pathology)
999 SAN BERNARDINO RD
UPLAND, CA 91786
Student in an Organized Health Care Education/Training Program
999 SAN BERNARDINO RD
UPLAND, CA 91786
Student in an Organized Health Care Education/Training Program
999 SAN BERNARDINO RD
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.

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 11 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.