1. Home
  2. Directory
  3. California
  4. Winchester
  5. Nurse Practitioner
  6. NPI Profile

JORDAN REBEKAH FALLENTINE PMHNP
NPI 1912871583
Nurse Practitioner - Psychiatric/Mental Health in Winchester, CA

Active since October 06, 2025PECOS Enrolled
30810 SOUTHEND LN, WINCHESTER, CA 92596(951) 704-6975 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan Rebekah Fallentine Pmhnp NPPES

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

JORDAN REBEKAH FALLENTINE PMHNP (NPI 1912871583) is an individual psychiatric/mental health provider in Winchester, California, licensed in California (95184578) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1912871583
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJORDAN REBEKAH FALLENTINECredential: PMHNP
Location Address30810 SOUTHEND LNWinchester, CA 92596-6340
Mailing Address30810 Southend LnWinchester, CA 92596-6340 · (951) 704-6975
Phone(951) 704-6975
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 6, 2025
NPPES CertifiedOctober 5, 2025
✔ NPI 1912871583 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 · 95184578
30810 SOUTHEND LN, Winchester, CA 92596
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Rebekah Fallentine Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163993916
PECOS Enrollment IDI20260603000894
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 92596 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

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 Jordan Fallentine's NPI number?

The NPI number for Jordan Fallentine is 1912871583. It was assigned to this individual provider in the NPPES registry on October 6, 2025.

Where is Jordan Fallentine located?

Jordan Fallentine practices at 30810 Southend Ln, Winchester, CA 92596. The listed phone number is (951) 704-6975.

What is Jordan Fallentine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jordan Fallentine enrolled in Medicare?

Yes. Jordan Fallentine is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jordan Fallentine was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.