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JESSICA FENNEWALD APRN
NPI 1376856880
Nurse Practitioner - Adult Health in Camarillo, CA

Active since July 26, 2010PECOS EnrolledAccepts Medicare Assignment
83.99/100
CMS Quality Rating
4005 MISSION OAKS BLVD STE A, CAMARILLO, CA 93012(805) 484-7921(816) 478-7140 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jessica Fennewald Aprn NPPES

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

JESSICA FENNEWALD APRN (NPI 1376856880) is an individual adult health provider in Camarillo, California, licensed in California (95007322) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1376856880
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJESSICA FENNEWALDCredential: APRN
Location Address4005 MISSION OAKS BLVD STE ACamarillo, CA 93012-5156
Mailing Address4005 Mission Oaks Blvd Ste ACamarillo, CA 93012-5156 · (805) 484-7921 · Fax (816) 478-7140
Phone(805) 484-7921
Fax(816) 478-7140
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 26, 2010
Last NPPES UpdateJanuary 17, 2025
NPPES CertifiedJanuary 16, 2025
✔ NPI 1376856880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CA · 95007322
4005 MISSION OAKS BLVD STE A, Camarillo, CA 93012
Open in Google Maps ↗

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

Jessica Fennewald Aprn 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 ID4981843281
PECOS Enrollment IDI20180222001897
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jessica Fennewald reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gastroenterology & Hepatology Specialists Inc
15 mi
Gastroenterology
1687 ERRINGER RD, SUITE 103
Simi Valley, CA 93065
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1457625931 (805) 462-4463
Genesis Healthcare Partners PC
129 mi
Specialist
320 SANTA FE DR STE 108
Encinitas, CA 92024
  • Reassigned Medicare billing, California enrollment
  • 242 clinicians in this Medicare group
NPI 1548567498 (760) 436-4558

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.
171 services145 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.
100 services86 patients
Measurement of hydrogen in breath to test for stomach and bowel symptoms 91065
This test involves breathing into a bag to measure hydrogen levels in your breath. High levels can indicate issues with food digestion or absorption in your stomach or intestines. It's non-invasive, painless, and helps diagnose certain gastrointestinal conditions.
40 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
36 services36 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93012 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
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$108.74 typical visit price
range $20.68 – $151.85
Typical copayment $27.18 (range $5.17 – $37.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.4
Improvement Activities40

Other Providers at the Same Location NPPES

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

AMY DIEM LAI
Physician Assistant
4005 MISSION OAKS BLVD STE A
CAMARILLO, CA 93012
Ventura County (805) 484-7921

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 Fennewald's NPI number?

The NPI number for Jessica Fennewald is 1376856880. It was assigned to this individual provider in the NPPES registry on July 26, 2010.

Where is Jessica Fennewald located?

Jessica Fennewald practices at 4005 Mission Oaks Blvd Ste A, Camarillo, CA 93012. The listed phone number is (805) 484-7921.

What is Jessica Fennewald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jessica Fennewald enrolled in Medicare?

Yes. Jessica Fennewald 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 Fennewald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Fennewald reassigns Medicare benefits to 2 organizations: Gastroenterology & Hepatology Specialists Inc (Simi Valley, CA) and Genesis Healthcare Partners PC (Encinitas, 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 Fennewald'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 Fennewald was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.