JESSICA L. THENO CRNP
NPI 1750716007
Nurse Practitioner - Pediatrics, Critical Care in Sacramento, CA
About Jessica L. Theno Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA L. THENO CRNP (NPI 1750716007) is an individual pediatrics, critical care provider in Sacramento, California, licensed in California (95007126) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jessica L. Theno Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jessica Theno reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sacramento, CA 95817
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Regents Of The Univ Of Ca
- 2,570 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95817 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SACRAMENTO, CA 95817
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 Jessica Theno's NPI number?
The NPI number for Jessica Theno is 1750716007. It was assigned to this individual provider in the NPPES registry on September 5, 2013.
Where is Jessica Theno located?
Jessica Theno practices at 2315 Stockton Blvd, Sacramento, CA 95817. The listed phone number is (916) 734-2011.
What is Jessica Theno's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.
Is Jessica Theno enrolled in Medicare?
Yes. Jessica Theno is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jessica Theno's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Theno reassigns Medicare benefits to Regents Of The University Of Ca (Sacramento, 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 Jessica Theno'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 Jessica Theno was last updated on May 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Jessica L. Theno, CRNP · NPI 1750716007
Pediatrics, Critical Care physician in Sacramento, California. Individual provider, active in the CMS NPPES registry since September 5, 2013.
## Identity
- **NPI:** 1750716007 (Entity type: Individual)
- **Enumerated:** September 5, 2013
- **Primary specialty:** Nurse Practitioner - Pediatrics, Critical Care · taxonomy 363LP0222X
- **State license:** 95007126 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2315 STOCKTON BLVD, Sacramento, CA 95817
- **Phone:** (916) 734-2011
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Regents Of The University Of Ca (NPI 1063405074, Sacramento, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 29, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1750716007) · Data from the CMS NPPES public registry.