JORDAIN RUTHERFORD PMHNP-BC
NPI 1841972205
Nurse Practitioner - Psychiatric/Mental Health in Vacaville, CA
About Jordain Rutherford Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAIN RUTHERFORD PMHNP-BC (NPI 1841972205) is an individual psychiatric/mental health provider in Vacaville, California, licensed in California (95014277) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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
Jordain Rutherford Pmhnp-bc 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jordain Rutherford reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Davis, CA 95618
- Reassigned Medicare billing, California enrollment
- 329 clinicians in this Medicare group
Stockton, CA 95207
- Reassigned Medicare billing, California enrollment
- 12 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 95688 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VACAVILLE, CA 95688
VACAVILLE, CA 95688
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 Jordain Rutherford's NPI number?
The NPI number for Jordain Rutherford is 1841972205. It was assigned to this individual provider in the NPPES registry on August 4, 2023.
Where is Jordain Rutherford located?
Jordain Rutherford practices at 770 Mason St Ste 120, Vacaville, CA 95688. The listed phone number is (855) 501-1004.
What is Jordain Rutherford's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jordain Rutherford enrolled in Medicare?
Yes. Jordain Rutherford 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 Jordain Rutherford's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jordain Rutherford reassigns Medicare benefits to 2 organizations: Mark David Levine MD, Professional Corporation (Davis, CA) and Mind Body Medicine Inc (Stockton, CA). 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 Jordain Rutherford'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 Jordain Rutherford was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Jordain Rutherford, PMHNP-BC · NPI 1841972205
Psychiatric/Mental Health physician in Vacaville, California. Individual provider, active in the CMS NPPES registry since August 4, 2023.
## Identity
- **NPI:** 1841972205 (Entity type: Individual)
- **Enumerated:** August 4, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95014277 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 770 MASON ST STE 120, Vacaville, CA 95688-4648
- **Phone:** (855) 501-1004
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mark David Levine MD, Professional Corporation (NPI 1689936569, Davis, CA); Mind Body Medicine Inc (NPI 1871278754, Stockton, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** April 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1841972205) · Data from the CMS NPPES public registry.