1. Home
  2. Directory
  3. California
  4. Sacramento
  5. Nurse Practitioner
  6. NPI Profile

JENNIFER YVONNE TREADWELL APRN, CPNP
NPI 1831533553
Nurse Practitioner - Pediatrics in Sacramento, CA

Active since April 24, 2013PECOS Enrolled
1625 STOCKTON BLVD STE 112, SACRAMENTO, CA 95816(916) 887-4877(916) 887-4835 Get Directions Write a Review

NPPES record last updated: January 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jennifer Yvonne Treadwell Aprn, Cpnp NPPES

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

JENNIFER YVONNE TREADWELL APRN, CPNP (NPI 1831533553) is an individual pediatrics provider in Sacramento, California, licensed in California (95015720) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831533553
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJENNIFER YVONNE TREADWELLCredential: APRN, CPNP
Location Address1625 STOCKTON BLVD STE 112Sacramento, CA 95816-7098
Mailing Address1625 Stockton Blvd Ste 112Sacramento, CA 95816-7098 · (916) 887-4877 · Fax (916) 887-4835
Phone(916) 887-4877
Fax(916) 887-4835
Sole ProprietorNo
Enumeration DateApril 24, 2013
Last NPPES UpdateJanuary 10, 2024
NPPES CertifiedJanuary 10, 2024
✔ NPI 1831533553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in CA · 95015720✔ Licensed in LA · AP06244
1625 STOCKTON BLVD STE 112, Sacramento, CA 95816
Open in Google Maps ↗

Other Identifiers 2

Other292348YH54LA · Medicare - Ptan
Medicaid2336037LA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Yvonne Treadwell Aprn, Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Jennifer Treadwell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Capital Allergy And Respiratory Disease Center A Med Corp
2.7 mi
Allergy
5609 J STREET, SUITE C
Sacramento, CA 95819
  • Reassigned Medicare billing, California enrollment
  • 9 clinicians in this Medicare group
NPI 1629191267 (916) 453-8696

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 95816 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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 4

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

BAILEY MICHELLE SANDERSON MSGC, LCGC
Genetic Counselor, MS
1625 STOCKTON BLVD STE 112
SACRAMENTO, CA 95816
Sacramento County (916) 887-4827
BRITTANY WONG
Physical Therapist
1625 STOCKTON BLVD STE 112
SACRAMENTO, CA 95816
Sacramento County (866) 961-8535
KELLY CHRISTINE MILLER AU.D.
Audiologist
1625 STOCKTON BLVD STE 112
SACRAMENTO, CA 95816
Sacramento County (916) 887-4159
MR. MARTHANDA S ESWARA MD
Pediatrics
1625 STOCKTON BLVD STE 112
SACRAMENTO, CA 95816
Sacramento County (916) 262-9108

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 Treadwell's NPI number?

The NPI number for Jennifer Treadwell is 1831533553. It was assigned to this individual provider in the NPPES registry on April 24, 2013.

Where is Jennifer Treadwell located?

Jennifer Treadwell practices at 1625 Stockton Blvd Ste 112, Sacramento, CA 95816. The listed phone number is (916) 887-4877.

What is Jennifer Treadwell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Jennifer Treadwell enrolled in Medicare?

Yes. Jennifer Treadwell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Treadwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Treadwell reassigns Medicare benefits to Capital Allergy And Respiratory Disease Center A Med Corp (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 Jennifer Treadwell'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 Treadwell was last updated on January 10, 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.