JENNIFER A DORNBUSH NP
NPI 1861877037
Nurse Practitioner in San Francisco, CA
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
Specialties & Licenses 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
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.
Medicare Billing Reassignments
4Medicare enrollment records show Jennifer Dornbush reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Willits, CA 95490
- Reassigned Medicare billing, California enrollment
- 134 clinicians in this Medicare group
Red Bluff, CA 96080
- Reassigned Medicare billing, California enrollment
- 131 clinicians in this Medicare group
Dunsmuir, CA 96025
- Reassigned Medicare billing, California enrollment
- 28 clinicians in this Medicare group
Yorktown Heights, NY 10598
- Reassigned Medicare billing, New York enrollment
- 149 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 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.
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.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 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.
Where is Jennifer Dornbush located?
Jennifer Dornbush practices at 2395 Lombard St, San Francisco, CA 94123. The listed phone number is (415) 796-2242.
What is Jennifer Dornbush's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Jennifer Dornbush enrolled in Medicare?
Yes. Jennifer Dornbush 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 Jennifer Dornbush's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Dornbush reassigns Medicare benefits to 4 organizations: Willits Hospital Inc. (Willits, CA), Dignity Health (Red Bluff, CA), Mccloud Healthcare Clinic, Inc. (Dunsmuir, CA) and Divinity Medical Services PLLC (Yorktown Heights, NY). 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 Jennifer Dornbush'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 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 5 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.
# Jennifer A Dornbush, NP · NPI 1861877037
Nurse Practitioner physician in San Francisco, California. Individual provider, active in the CMS NPPES registry since July 29, 2015.
## Identity
- **NPI:** 1861877037 (Entity type: Individual)
- **Enumerated:** July 29, 2015
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 95017501 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2395 LOMBARD ST, San Francisco, CA 94123-2601
- **Phone:** (415) 796-2242 · **Fax:** (415) 796-3841
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Willits Hospital Inc. (NPI 1356339543, Willits, CA); Dignity Health (NPI 1134687734, Red Bluff, CA); Mccloud Healthcare Clinic, Inc. (NPI 1376893420, Dunsmuir, CA); Divinity Medical Services PLLC (NPI 1497159560, Yorktown Heights, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** October 14, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1861877037) · Data from the CMS NPPES public registry.