JENNIFER LYNN GERSHEN PSY.D.
NPI 1700943123
Counselor - Professional in Santa Rosa, CA
About Jennifer Lynn Gershen Psy.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER LYNN GERSHEN PSY.D. (NPI 1700943123) is an individual professional provider in Santa Rosa, California, licensed in California (PSY19901) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jennifer Lynn Gershen Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jennifer Gershen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vallejo, CA 94589
- 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.
Other Providers at the Same Location NPPES 2
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 Gershen's NPI number?
The NPI number for Jennifer Gershen is 1700943123. It was assigned to this individual provider in the NPPES registry on January 3, 2007. The provider is also known as Jennifer G. Brandt.
Where is Jennifer Gershen located?
Jennifer Gershen practices at 3558 Round Barn Blvd, Santa Rosa, CA 95403. The listed phone number is (707) 571-4000.
What is Jennifer Gershen's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jennifer Gershen enrolled in Medicare?
Yes. Jennifer Gershen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jennifer Gershen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Gershen reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, 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 Jennifer Gershen'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 Gershen was last updated on September 25, 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.
# Jennifer Lynn Gershen, PSY.D. · NPI 1700943123
Professional provider in Santa Rosa, California. Individual provider, active in the CMS NPPES registry since January 3, 2007.
## Identity
- **NPI:** 1700943123 (Entity type: Individual)
- **Enumerated:** January 3, 2007
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** PSY19901 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3558 ROUND BARN BLVD, Santa Rosa, CA 95403-1780
- **Phone:** (707) 571-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1336222397, Vallejo, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1700943123) · Data from the CMS NPPES public registry.