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JENNY LYNN LAZARUS MD
NPI 1902167901
General Practice in Willows, CA

Active since June 06, 2012PECOS Enrolled
130 W SYCAMORE ST, WILLOWS, CA 95988(530) 330-5222 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 19, 2021, Apr 8, 2021, Jul 13, 2020 and 1 more (4 updates tracked since 2016).

About Jenny Lynn Lazarus Md NPPES

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

JENNY LYNN LAZARUS MD (NPI 1902167901) is an individual general practice provider in Willows, California, licensed in California (A168579) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1902167901
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameJENNY LYNN LAZARUSCredential: MD
Location Address130 W SYCAMORE STWillows, CA 95988-2826
Mailing AddressPo Box 159Stonyford, CA 95979-0159 · (916) 678-0351
Phone(530) 330-5222
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 6, 2012
Last NPPES UpdateAugust 19, 20214 updates tracked since enumeration
NPPES CertifiedAugust 19, 2021
✔ NPI 1902167901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in CA · A168579✔ Licensed in MI · 4301108934
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedSurgeryTaxonomy 208600000X · License BP10043378 (TX)
130 W SYCAMORE ST, Willows, CA 95988
Open in Google Maps ↗

Secondary Practice Locations 3

Location 12380 Twin Lakes DrYpsilanti, MI 48197-1491 · Phone (530) 383-3035
Location 21133 W Sycamore StWillows, CA 95988-2601 · Phone (530) 934-1831 · Fax (530) 934-1862
Location 34992 East Park Rd #159Stonyford, CA 95979 · Phone (916) 678-0351

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenny Lynn Lazarus Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527480466
PECOS Enrollment IDI20200622002006
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 Reassignments

6

Medicare enrollment records show Jenny Lazarus reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Glenn Medical Center, LLC
0.7 mi
Medicare Defined Swing Bed Unit
1133 W SYCAMORE ST
Willows, CA 95988
  • Reassigned Medicare billing, California enrollment
  • 53 clinicians in this Medicare group
NPI 1336187178 (530) 934-1800
Lazarus Healing Center, PC
21 mi
General Practice
4992 EAST PARK RD
Stonyford, CA 95979
  • Reassigned Medicare billing, California enrollment
NPI 1265386585 (916) 900-1029
Lake County Tribal Health Southshore Clinic
45 mi
Federally Qualified Health Center (FQHC)
14440 OLYMPIC DRIVE
Clearlake, CA 95422
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Lake County Tribal Health Consortium Inc
  • 59 clinicians in this Medicare group
NPI 1063158038 (707) 263-8382
Docs Medical Group Inc
74 mi
Gastroenterology
2147 COURT ST
Redding, CA 96001
  • Reassigned Medicare billing, California enrollment
  • 13 clinicians in this Medicare group
NPI 1063457620 (530) 243-8667
Last Frontier Healthcare District
161 mi
Critical Access
1111 N NAGLE ST
Alturas, CA 96101
  • Reassigned Medicare billing, California enrollment
  • 36 clinicians in this Medicare group
NPI 1487669032 (530) 708-8800
Anaheim Urgent Care, Inc.
405 mi
Urgent Care
35 W LOS ANGELES AVE # CA
Moorpark, CA 93021
  • Reassigned Medicare billing, California enrollment
  • 115 clinicians in this Medicare group
NPI 1558931238 (805) 529-5370

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
53 services53 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
18 services18 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
14 services12 patients

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 Jenny Lazarus's NPI number?

The NPI number for Jenny Lazarus is 1902167901. It was assigned to this individual provider in the NPPES registry on June 6, 2012.

Where is Jenny Lazarus located?

Jenny Lazarus practices at 130 W Sycamore St, Willows, CA 95988. The listed phone number is (530) 330-5222.

What is Jenny Lazarus's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Jenny Lazarus enrolled in Medicare?

Yes. Jenny Lazarus is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jenny Lazarus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jenny Lazarus reassigns Medicare benefits to 6 organizations: Glenn Medical Center, LLC (Willows, CA), Lazarus Healing Center, PC (Stonyford, CA), Lake County Tribal Health Southshore Clinic (Clearlake, CA), Docs Medical Group Inc (Redding, CA), Last Frontier Healthcare District (Alturas, CA) and 1 more organization, listed in the Medicare section above. 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 Jenny Lazarus'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 Jenny Lazarus was last updated on August 19, 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.