PHILLIP ANTHONY JENNRICH
NPI 1679064562
Physician Assistant - Surgical in Fresno, CA

Q: What is Phillip Jennrich's NPI number?

The NPI number for Phillip Jennrich is 1679064562. It was assigned to this individual provider in the NPPES registry on May 25, 2018.

Q: What is Phillip Jennrich's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Phillip Jennrich was last updated on October 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 25, 2018PECOS EnrolledAccepts Medicare Assignment

84/100

CMS Quality Rating

2823 FRESNO ST, FRESNO, CA 93721(559) 459-3705(559) 459-3720 Get Directions Write a Review

NPPES record last updated: October 9, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 9, 2020, Jan 14, 2020, Nov 29, 2018 and 1 more (4 updates tracked since 2018).

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About Phillip Anthony Jennrich NPPES

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

PHILLIP ANTHONY JENNRICH (NPI 1679064562) is an individual surgical provider in Fresno, California, licensed in California (55903) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1679064562

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NamePHILLIP ANTHONY JENNRICH

Location Address2823 FRESNO STFresno, CA 93721-1324

Mailing Address2625 E Divisadero StFresno, CA 93721-1431 · (559) 443-2682 · Fax (559) 443-2681

Phone(559) 459-3705

Fax(559) 459-3720

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMay 25, 2018

Last NPPES UpdateOctober 9, 20204 updates tracked since enumeration

NPPES CertifiedOctober 9, 2020

✔ NPI 1679064562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in CA · 55903

Also ListedPhysician AssistantTaxonomy 363A00000X · License 55903 (CA)

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 55903 (CA)

2823 FRESNO ST, Fresno, CA 93721

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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

Phillip Anthony Jennrich 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 ID6608111240

PECOS Enrollment IDI20181230000006

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.

Areas of Expertise CMS Part B claims 3

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

38 services38 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

31 services31 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

12 services12 patients

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.

84/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.27

Promoting Interoperability

100

Improvement Activities

Cost

57.88

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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.

MICHELLE LEA STORKAN M.D.

Emergency Medicine