JENNIFER WARD PUCCI NP
NPI 1649942467
Nurse Practitioner - Family in San Diego, CA

Active since September 30, 2021PECOS Enrolled
100/100
CMS Quality Rating
4077 5TH AVE, SAN DIEGO, CA 92103(619) 686-3800 Get Directions Write a Review

NPPES record last updated: October 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 8, 2021, Sep 30, 2021 (2 updates tracked since 2021).

About Jennifer Ward Pucci Np NPPES

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

JENNIFER WARD PUCCI NP (NPI 1649942467) is an individual family provider in San Diego, California, licensed in California (95018543) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649942467
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER WARD PUCCICredential: NP
Location Address4077 5TH AVESan Diego, CA 92103-2105
Mailing Address302 Washington St # 844San Diego, CA 92103-2110 · (619) 203-7190 · Fax (858) 675-0508
Sole ProprietorNo
Enumeration DateSeptember 30, 2021
Last NPPES UpdateOctober 8, 20212 updates tracked since enumeration
NPPES CertifiedOctober 8, 2021
NPI 1649942467 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 · 95018543
4077 5TH AVE, San Diego, CA 92103

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jennifer Ward Pucci Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 92103 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.9
Improvement Activities40

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.

Psychologist (Clinical)
4077 5TH AVE, BEHAVIORAL HEALTH OUTPATIENT - LEVEL D
SAN DIEGO, CA 92103
Pharmacist
4077 5TH AVE
SAN DIEGO, CA 92103
Nurse Practitioner (Primary Care)
4077 5TH AVE
SAN DIEGO, CA 92103
Hospitalist
4077 5TH AVE, MER 127
SAN DIEGO, CA 92103
Physical Therapist
4077 5TH AVE
SAN DIEGO, CA 92103
Nurse Practitioner (Adult Health)
4077 5TH AVE
SAN DIEGO, CA 92103
Emergency Medicine
4077 5TH AVE
SAN DIEGO, CA 92103
Social Worker (Clinical)
4077 5TH AVE
SAN DIEGO, CA 92103

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 Pucci's NPI number?

The NPI number for Jennifer Pucci is 1649942467. It was assigned to this individual provider in the NPPES registry on September 30, 2021.

Where is Jennifer Pucci located?

Jennifer Pucci practices at 4077 5th Ave, San Diego, CA 92103. The listed phone number is (619) 686-3800.

What is Jennifer Pucci's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jennifer Pucci enrolled in Medicare?

Yes. Jennifer Pucci is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Pucci was last updated on October 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.