JENELLE SKINNER
NPI 1396483764
Nurse Practitioner - Family in South San Francisco, CA
About Jenelle Skinner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENELLE SKINNER (NPI 1396483764) is an individual family provider in South San Francisco, California, licensed in Florida (11014809) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Accepted Insurance
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
Jenelle Skinner 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94080 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.
SOUTH SAN FRANCISCO, CA 94080
SOUTH SAN FRANCISCO, CA 94080
SOUTH SAN FRANCISCO, CA 94080
SOUTH SAN FRANCISCO, CA 94080
SOUTH SAN FRANCISCO, CA 94080
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 Jenelle Skinner's NPI number?
The NPI number for Jenelle Skinner is 1396483764. It was assigned to this individual provider in the NPPES registry on May 25, 2022.
Where is Jenelle Skinner located?
Jenelle Skinner practices at 611 Gateway Blvd Ste 120, South San Francisco, CA 94080. The listed phone number is (650) 761-4056.
What is Jenelle Skinner's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jenelle Skinner enrolled in Medicare?
Yes. Jenelle Skinner 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.
What insurance does Jenelle Skinner accept?
Health plans from AvMed and Blue Cross and Blue Shield of Texas list Jenelle Skinner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jenelle Skinner was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jenelle Skinner · NPI 1396483764
Family physician in South San Francisco, California. Individual provider, active in the CMS NPPES registry since May 25, 2022.
## Identity
- **NPI:** 1396483764 (Entity type: Individual)
- **Enumerated:** May 25, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 11014809 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 611 GATEWAY BLVD STE 120, South San Francisco, CA 94080-7066
- **Phone:** (650) 761-4056 · **Fax:** (628) 216-8120
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** June 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1396483764) · Data from the CMS NPPES public registry.