JENNIFFER GIELYN ANDES
NPI 1710658505
Student in an Organized Health Care Education/Training Program in San Rafael, CA

Q: What is Jenniffer Gielyn Andes's NPI number?

The NPI number for Jenniffer Gielyn Andes is 1710658505. It was assigned to this individual provider in the NPPES registry on September 22, 2021.

Q: What is Jenniffer Gielyn Andes's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since September 22, 2021PECOS EnrolledAccepts Medicare Assignment

50 ACACIA AVE, SAN RAFAEL, CA 94901(415) 533-0121 Get Directions Write a Review

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jenniffer Gielyn Andes NPPES

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

JENNIFFER GIELYN ANDES (NPI 1710658505) is an individual student in an organized health care education/training program in San Rafael, California and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1710658505

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJENNIFFER GIELYN ANDES

Location Address50 ACACIA AVESan Rafael, CA 94901-2230

Mailing Address450 Burrows StSan Francisco, CA 94134-1448 · (415) 533-0121

Phone(415) 533-0121

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 22, 2021

NPPES CertifiedSeptember 22, 2021

✔ NPI 1710658505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

50 ACACIA AVE, San Rafael, CA 94901

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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

Jenniffer Gielyn Andes 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 ID7315458254

PECOS Enrollment IDI20250617002592

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.

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.

MR. JESSE J MAZZA A.T.,C.

Specialist