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JORDAIN RUTHERFORD PMHNP-BC
NPI 1841972205
Nurse Practitioner - Psychiatric/Mental Health in Vacaville, CA

Active since August 04, 2023PECOS Enrolled
770 MASON ST STE 120, VACAVILLE, CA 95688(855) 501-1004 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 13, 2026, May 7, 2025, Sep 5, 2023 (3 updates tracked since 2023).

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 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1841972205
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJORDAIN RUTHERFORDCredential: PMHNP-BC
Location Address770 MASON ST STE 120Vacaville, CA 95688-4648
Mailing Address3835 N Freeway Blvd Ste 100Sacramento, CA 95834-1954 · Fax (209) 290-3633
Phone(855) 501-1004
Sole ProprietorNo
Enumeration DateAugust 4, 2023
Last NPPES UpdateApril 13, 20263 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
✔ NPI 1841972205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95014277
770 MASON ST STE 120, Vacaville, CA 95688
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12509 W March Ln Ste 250Stockton, CA 95207-8222 · Phone (209) 290-1700
Location 2142 Sky Line Ranch DrVacaville, CA 95688-8738 · Phone (256) 668-2568

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordain Rutherford Pmhnp-bc 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.

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.

New Patient
$98.85 typical visit price
range $65.02 – $191.95
Typical copayment $24.71 (range $16.25 – $47.98)
Most-billed visit code 99203
Established Patient
$113.05 typical visit price
range $21.86 – $157.69
Typical copayment $28.26 (range $5.46 – $39.42)
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.

MAYRE TAMARA LEE PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
770 MASON ST STE 120
VACAVILLE, CA 95688
Solano County (707) 741-3037
SUMMER THOMPSON PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
770 MASON ST STE 120
VACAVILLE, CA 95688
Solano County (707) 741-3037
MS. SABAH CHOUDRY PMHNP, MSN, RN
Nurse Practitioner (Psychiatric/Mental Health)
770 MASON ST STE 120
VACAVILLE, CA 95688
Solano County (707) 741-3037
MINYU LIAO MENTAL HEALTH WORKER
Social Worker (Clinical)
770 MASON ST STE 120
VACAVILLE, CA 95688
Solano County (855) 501-1004

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 enrollment system.

When was this NPI record last updated?

The NPPES record for Jordain Rutherford was last updated on April 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.