NICOLE JEDRZYNSKI MD
NPI 1487273207
Ophthalmology in Walnut Creek, CA
About Nicole Jedrzynski Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE JEDRZYNSKI MD (NPI 1487273207) is an individual ophthalmology provider in Walnut Creek, California, licensed in California (186390) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of University Of Vermont College Of Medicine (2020).
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 and accepts Medicare assignment
Nicole Jedrzynski Md 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 Reassignment
Medicare enrollment records show Nicole Jedrzynski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Richmond, CA 94801
- Reassigned Medicare billing, California enrollment
- 20,078 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 94598 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Nicole Jedrzynski's NPI number?
The NPI number for Nicole Jedrzynski is 1487273207. It was assigned to this individual provider in the NPPES registry on April 11, 2020.
Where is Nicole Jedrzynski located?
Nicole Jedrzynski practices at 320 Lennon Ln Bldg 2, Walnut Creek, CA 94598. The listed phone number is (925) 906-2000.
What is Nicole Jedrzynski's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Nicole Jedrzynski enrolled in Medicare?
Yes. Nicole Jedrzynski 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 organization bills Medicare for Nicole Jedrzynski's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Jedrzynski reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, CA). The 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 Nicole Jedrzynski'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 Nicole Jedrzynski was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Nicole Jedrzynski, MD · NPI 1487273207
Ophthalmology physician in Walnut Creek, California. Individual provider, active in the CMS NPPES registry since April 11, 2020.
## Identity
- **NPI:** 1487273207 (Entity type: Individual)
- **Enumerated:** April 11, 2020
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** 186390 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 320 LENNON LN BLDG 2, Walnut Creek, CA 94598-2419
- **Phone:** (925) 906-2000
## 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:** Permanente Medical Group Inc (NPI 1235226531, Richmond, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Vermont College Of Medicine, class of 2020
## Record status
- **NPPES last updated:** September 5, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1487273207) · Data from the CMS NPPES public registry.