Individual provider Active NPI

Jennifer Inglet, PAC

  • Physician Assistant
  • Gridley, CA
National Provider Identifier
1013017995
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA18240 Issued in CA
Practice address
520 Kentucky St
Gridley, CA 95948-2116
Phone
(530) 846-6231
Fax
(530) 846-4051
NPI assigned
Sep 22, 2006
Last updated
Dec 22, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA18240 CA Primary

Addresses

Primary practice location

520 Kentucky St
Gridley, CA 95948-2116

Mailing address

PO Box Ad
Yuba City, CA 95992-1396
Phone (530) 751-3769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060223000852 CA Practitioner - Physician Assistant 1658387998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ampla HealthGroup PAC ID 5092619270, 105 clinicians

Practice addresses (Care Compare)

2800 Lincoln St
Oroville, CA 95966-5961
Phone (530) 534-7500

355 Samuel Dr
Yuba City, CA 95991-6324
Phone (530) 674-9200

608 J St
Marysville, CA 95901-5413
Phone (530) 749-4180

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ampla Health CurrentSince Jun 8, 2010 Accepting new patients
Ampla Health CurrentSince Jun 8, 2010 Accepting new patients
Ampla Health Past Accepting new patients

Locations

89 Putnam Way
Arbuckle, CA 95912
Phone (530) 476-2200

680 Cohasset Rd
Chico, CA 95926
Phone (530) 342-4395

555 Fremont St
Colusa, CA 95932
Phone (530) 458-5165

520 Kentucky St
Gridley, CA 95948
Phone (530) 846-6231

608 J St
Marysville, CA 95901
Phone (530) 673-9420

4941 Olivehurst Ave
Olivehurst, CA 95961
Phone (530) 743-4611

1211 Cortina Dr
Orland, CA 95963
Phone (530) 865-5544

1453 Downer St
Oroville, CA 95965
Phone (530) 534-7400

2800 Lincoln St
Oroville, CA 95966
Phone (530) 534-7500

1000 Sutter St
Yuba City, CA 95991
Phone (530) 673-9420

935 Market St
Yuba City, CA 95991
Phone (530) 674-4261

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACEDCD/Endpoint/ACEDCD
  • Direct secure messaging: jennifer.inglet@ampla.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1013017995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX AD",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959921396",
            "telephone_number": "530-751-3769",
            "fax_number": "530-751-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 KENTUCKY ST",
            "city": "GRIDLEY",
            "state": "CA",
            "postal_code": "959482116",
            "telephone_number": "530-846-6231",
            "fax_number": "530-846-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGLET",
        "first_name": "JENNIFER",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA18240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gridley, CA

Sources for this page

Verify at the official NPI Registry.