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

Active since October 06, 2025PECOS EnrolledAccepts Medicare Assignment
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: October 25, 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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jordan Rebekah Fallentine Pmhnp 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 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jordan Fallentine reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Precision Psychiatric Services Inc
359 mi
Neurology
455 SILICON VALLEY BLVD
San Jose, CA 95138
  • Reassigned Medicare billing, California enrollment
  • 112 clinicians in this Medicare group
NPI 1174094064 (669) 900-1731
Psychplus Associates Of California PC
407 mi
Psychiatry
3095 TELEGRAPH AVE
Berkeley, CA 94705
  • Reassigned Medicare billing, California enrollment
  • 103 clinicians in this Medicare group
NPI 1457179442 (832) 869-4818
Psychplus Medical Associates Of California PC
1,292 mi
Internal Medicine
7877 WILLOW CHASE BLVD
Houston, TX 77070
  • Reassigned Medicare billing, California enrollment
  • 105 clinicians in this Medicare group
NPI 1124875588 (832) 869-4818

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 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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jordan Fallentine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Fallentine reassigns Medicare benefits to 3 organizations: Precision Psychiatric Services Inc (San Jose, CA), Psychplus Associates Of California PC (Berkeley, CA) and Psychplus Medical Associates Of California PC (Houston, TX). 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 Jordan Fallentine'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 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 12 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.