JENNIFER A DORNBUSH NP
NPI 1861877037
Nurse Practitioner in San Francisco, CA

Q: What is Jennifer Dornbush's NPI number?

The NPI number for Jennifer Dornbush is 1861877037. It was assigned to this individual provider in the NPPES registry on July 29, 2015.

Q: What is Jennifer Dornbush's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Dornbush was last updated on October 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 29, 2015PECOS EnrolledAccepts Medicare Assignment

96.5/100

CMS Quality Rating

2395 LOMBARD ST, SAN FRANCISCO, CA 94123(415) 796-2242(415) 796-3841 Get Directions Write a Review

NPPES record last updated: October 14, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 14, 2021, Jul 10, 2018, Feb 24, 2016 (3 updates tracked since 2016).

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About Jennifer A Dornbush Np NPPES

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

JENNIFER A DORNBUSH NP (NPI 1861877037) is an individual nurse practitioner in San Francisco, California, licensed in California (95017501) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1861877037

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJENNIFER A DORNBUSHCredential: NP

Location Address2395 LOMBARD STSan Francisco, CA 94123-2601

Mailing Address3400 Data DrRancho Cordova, CA 95670-7956

Phone(415) 796-2242

Fax(415) 796-3841

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJuly 29, 2015

Last NPPES UpdateOctober 14, 20213 updates tracked since enumeration

NPPES CertifiedOctober 14, 2021

✔ NPI 1861877037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 95017501

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License A141009 (IA), F342964 (NY)

2395 LOMBARD ST, San Francisco, CA 94123

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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

Jennifer A Dornbush Np 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 ID4587979968

PECOS Enrollment IDI20240124000960

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 94123 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.34

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 12

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

MICHELLE LAI MPH, PA-C

Physician Assistant