JAGMOHAN GHOTRA NP
NPI 1689032815
Nurse Practitioner in Modesto, CA

Active since February 02, 2016PECOS EnrolledAccepts Medicare Assignment
1608 TULLY RD, MODESTO, CA 95350(209) 849-6543(209) 422-3776 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 24, 2026, Dec 2, 2021, Mar 25, 2016 and 1 more (4 updates tracked since 2016).

About Jagmohan Ghotra Np NPPES

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

JAGMOHAN GHOTRA NP (NPI 1689032815) is an individual nurse practitioner in Modesto, California, licensed in California (95003867) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1689032815
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJAGMOHAN GHOTRACredential: NP
Location Address1608 TULLY RDModesto, CA 95350-4031
Mailing Address26024 Ohara Ln303 Starr Ave, CA 95380 · (661) 877-6211 · Fax (209) 422-3776
Fax(209) 422-3776
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 2, 2016
Last NPPES UpdateMarch 24, 20264 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
✔ NPI 1689032815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95003867
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1608 TULLY RD, Modesto, CA 95350

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

Jagmohan Ghotra Np 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 ID8325334741
PECOS Enrollment IDI20160912001816
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.

Medicare Billing Reassignments

14

Medicare enrollment records show Jagmohan Ghotra reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
700 17TH ST STE 205
Modesto, CA 95354
  • Reassigned Medicare billing, California enrollment
  • 180 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
554 5TH ST
Gustine, CA 95322
  • Reassigned Medicare billing, California enrollment
  • 179 clinicians in this Medicare group
Surgery
371 E BULLARD AVE STE 102A
Fresno, CA 93710
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
Health Maintenance Organization
2103 E GONZALES RD
Oxnard, CA 93036
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
Surgery
25101 THE OLD RD
Santa Clarita, CA 91381
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
Emergency Medicine
7300 MEDICAL CENTER DR
West Hills, CA 91307
  • Reassigned Medicare billing, California enrollment
  • 49 clinicians in this Medicare group
Primary Care
20246 SATICOY ST STE 201
Winnetka, CA 91306
  • Reassigned Medicare billing, California enrollment
  • 8 clinicians in this Medicare group
Family Medicine
15722 VINCENNES ST
North Hills, CA 91343
  • Reassigned Medicare billing, California enrollment
Family Medicine
313 E PROVIDENCIA AVE APT F
Burbank, CA 91502
  • Reassigned Medicare billing, California enrollment
  • 17 clinicians in this Medicare group
Surgery
955 CARRILLO DR STE 400
Los Angeles, CA 90048
  • Reassigned Medicare billing, California enrollment
  • 17 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 2

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.

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
88 services18 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
69 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95350 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1608 TULLY RD
MODESTO, CA 95350
Nurse Practitioner (Psychiatric/Mental Health)
1608 TULLY RD
MODESTO, CA 95350
Nurse Practitioner (Psychiatric/Mental Health)
1608 TULLY RD
MODESTO, CA 95350
Clinic/Center (Public Health, State or Local)
1608 TULLY RD
MODESTO, CA 95350
Internal Medicine
1608 TULLY RD
MODESTO, CA 95350
Internal Medicine
1608 TULLY RD
MODESTO, CA 95350
Nurse Practitioner (Family)
1608 TULLY RD
MODESTO, CA 95350

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 Jagmohan Ghotra's NPI number?

The NPI number for Jagmohan Ghotra is 1689032815. It was assigned to this individual provider in the NPPES registry on February 2, 2016.

Where is Jagmohan Ghotra located?

Jagmohan Ghotra practices at 1608 Tully Rd, Modesto, CA 95350. The listed phone number is (209) 849-6543.

What is Jagmohan Ghotra's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jagmohan Ghotra enrolled in Medicare?

Yes. Jagmohan Ghotra 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 organizations bill Medicare for Jagmohan Ghotra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jagmohan Ghotra reassigns Medicare benefits to 14 organizations: American Specialty Physicians Group Inc (Modesto, CA), Community Health Centers Of America (Gustine, CA), Healpoint Medical, Apc (Fresno, CA), Southern California Permanente Medical Group (Oxnard, CA), Lb Hendricks Medical Services Inc (Santa Clarita, CA) and 9 more organizations, listed in the Medicare section above. 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 Jagmohan Ghotra'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 Jagmohan Ghotra was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.