JENNIFER MELINDA MELCOMIAN
NPI 1487119491
Nurse Practitioner - Family in San Jose, CA
About Jennifer Melinda Melcomian NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER MELINDA MELCOMIAN (NPI 1487119491) is an individual family provider in San Jose, California, licensed in California (95020078) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jennifer Melinda Melcomian is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Jennifer Melcomian reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Jose, CA 95123
- Reassigned Medicare billing, California enrollment
- 15 clinicians in this Medicare group
Monterey, CA 93940
- Reassigned Medicare billing, California enrollment
- 26 clinicians in this Medicare group
Berkeley, CA 94705
- Reassigned Medicare billing, California enrollment
- 241 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.
Areas of Expertise CMS Part B claims 8
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95120 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jennifer Melcomian's NPI number?
The NPI number for Jennifer Melcomian is 1487119491. It was assigned to this individual provider in the NPPES registry on February 4, 2019.
Where is Jennifer Melcomian located?
Jennifer Melcomian practices at 6469 Almaden Expy Ste 80-703, San Jose, CA 95120. The listed phone number is (669) 317-9835.
What is Jennifer Melcomian's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jennifer Melcomian enrolled in Medicare?
Yes. Jennifer Melcomian is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jennifer Melcomian's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Melcomian reassigns Medicare benefits to 3 organizations: California Emergency Physicians (San Jose, CA), Mogo Urgent Care (Monterey, CA) and Carbon Health Medical Group Of California PC (Berkeley, 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 Jennifer Melcomian'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 Jennifer Melcomian was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.