JENNA E NOENICKX
NPI 1912437047
Physician Assistant in Santa Maria, CA

Active since June 12, 2017PECOS EnrolledAccepts Medicare Assignment
96.5/100
CMS Quality Rating
1102 E CLARK AVE STE 120A, SANTA MARIA, CA 93455(805) 332-8185 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 3, 2023, Nov 15, 2022, Sep 21, 2021 and 1 more (4 updates tracked since 2017).

About Jenna E Noenickx NPPES

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

JENNA E NOENICKX (NPI 1912437047) is an individual physician assistant in Santa Maria, California, licensed in California (54819) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1912437047
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNA E NOENICKX
Location Address1102 E CLARK AVE STE 120ASanta Maria, CA 93455-5175
Mailing Address1102 E Clark Ave Ste 120aSanta Maria, CA 93455-5175 · (805) 332-8185 · Fax (805) 332-8186
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 12, 2017
Last NPPES UpdateNovember 3, 20234 updates tracked since enumeration
NPPES CertifiedNovember 3, 2023
NPI 1912437047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · 54819
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1102 E CLARK AVE STE 120A, Santa Maria, CA 93455

Other Names 1

Former Name (1)Jenna Frazier

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

Jenna E Noenickx 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 ID941576300
PECOS Enrollment IDI20171030002897
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.

Areas of Expertise CMS Part B claims 8

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
90 services89 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
61 services60 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.
56 services56 patients
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.
26 services26 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
19 services19 patients
Removal of impacted ear wax by washing 69209
Impacted ear wax removal by washing, also known as ear irrigation, involves using a pressurized flow of water to break up and dislodge the ear wax. This safe procedure helps restore normal hearing and relieve discomfort caused by the blockage.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93455 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
$94.71 typical visit price
range $62.01 – $184.40
Typical copayment $23.67 (range $15.50 – $46.10)
Most-billed visit code 99203
Established Patient
$76.76 typical visit price
range $20.60 – $151.20
Typical copayment $19.19 (range $5.15 – $37.80)
Most-billed visit code 99213
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
Quality80.34
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Family)
1102 E CLARK AVE STE 120A
SANTA MARIA, CA 93455
Physician Assistant (Surgical)
1102 E CLARK AVE STE 120A
SANTA MARIA, CA 93455
Emergency Medicine
1102 E CLARK AVE STE 120A
SANTA MARIA, CA 93455
Physician Assistant
1102 E CLARK AVE STE 120A
SANTA MARIA, CA 93455
Nurse Practitioner
1102 E CLARK AVE STE 120A
SANTA MARIA, CA 93455
Physician Assistant
1102 E CLARK AVE STE 120A
SANTA MARIA, CA 93455
Emergency Medicine
1102 E CLARK AVE STE 120A
SANTA MARIA, CA 93455
Nurse Practitioner
1102 E CLARK AVE STE 120A
SANTA MARIA, CA 93455

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 Jenna Noenickx's NPI number?

The NPI number for Jenna Noenickx is 1912437047. It was assigned to this individual provider in the NPPES registry on June 12, 2017.

Where is Jenna Noenickx located?

Jenna Noenickx practices at 1102 E Clark Ave Ste 120A, Santa Maria, CA 93455. The listed phone number is (805) 332-8185.

What is Jenna Noenickx's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jenna Noenickx enrolled in Medicare?

Yes. Jenna Noenickx 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.

When was this NPI record last updated?

The NPPES record for Jenna Noenickx was last updated on November 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.