Individual provider Active NPI

Jeremy Ray Flowers, N.P.

  • Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1013913045
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
15316 Issued in CA
Practice address
200 W Arbor Dr
San Diego, CA 92103-9000
Phone
(800) 926-8273
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 15316 CA Primary

Addresses

Primary practice location

200 W Arbor Dr
San Diego, CA 92103-9000

Mailing address

PO Box 232410
San Diego, CA 92193-2410

Other identifiers 9

IdentifierTypeStateIssuer
GR0083811MedicaidCA
GR0083816MedicaidCA
GR0083817MedicaidCA
GR0083810MedicaidCA
GR0083814MedicaidCA
ZZZ75341ZMedicaidCA
GR0083812MedicaidCA
GR0083813MedicaidCA
GR0083815MedicaidCA

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
I20070827000442 CA Practitioner - Nurse Practitioner 0840236212 Reassigns benefits to 5 organizations
Practice locations: San Diego, CA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hom Medical Group IncGroup PAC ID 3870498694, 4 clinicians
Regents of the University of CaliforniaGroup PAC ID 3577476761, 2,047 clinicians
Elion Brace MD IncGroup PAC ID 8426350810, 3 clinicians

Practice addresses (Care Compare)

1130 Via Carolina
La Jolla, CA 92037-6254
Phone (619) 507-0909

1940 El Cajon Blvd
San Diego, CA 92104-1005
Phone (619) 543-4500

200 W Arbor Dr
San Diego, CA 92103-9000
Phone (858) 657-7000

555 Washington St
San Diego, CA 92103-2289
Phone (619) 260-8300

Hospital & facility affiliations

  • UC San Diego Health Hillcrest - Hillcrest Med Ctr Hospital, San Diego, CA, CCN 050025

Merit-based Incentive Payment System (MIPS)

Final score
90.77 of 100Reported as group
Quality
84.13
Promoting interoperability
100
Improvement activities
40
Cost
73.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Mar 1, 2015 Accepting new patients
Regents of the University of California - Ucsd Medical Group CurrentSince Mar 1, 2015 Accepting new patients
Prema Sai Medical, P.C. CurrentSince Nov 26, 2012 Accepting new patients
Hom Medical Group Inc CurrentSince Jun 1, 2024 Accepting new patients
Haritha R Chelimilla MD a Professional Corporation CurrentSince Mar 27, 2021 Accepting new patients
Elion Brace MD Inc CurrentSince Oct 20, 2017 Accepting new patients
Regents of the University of California Nurse Practitioner Current Accepting new patients
Regents of the University of California Nurse Practitioner Past Accepting new patients
Regents of the University of California Past Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients

Locations

751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639

230 Prospect Pl
Ste 220
Coronado, CA 92118
Phone (559) 593-6450

1201 S Orange Ave
El Cajon, CA 92020
Phone (619) 441-1988

735 E Ohio Ave
Ste 204
Escondido, CA 92025
Phone (760) 294-7600

2224 Medical Center Dr
Perris, CA 92571
Phone (951) 436-3460

250 Prospect Pl
San Diego, CA 92118
Phone (619) 522-3600

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

6061 Banbury St
San Diego, CA 92139
Phone (619) 475-2211

1940 El Cajon Blvd
San Diego, CA 92104
Phone (619) 543-4500

4075 54th St
San Diego, CA 92105
Phone (619) 582-5168

200 W Arbor Dr
Fl 2
San Diego, CA 92103

7910 Frost St
Ste 100
San Diego, CA 92123
Phone (858) 634-5900

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

555 Washington St
San Diego, CA 92103
Phone (619) 260-8300

3520 4th Ave
San Diego, CA 92103
Phone (619) 291-5270

Organizations & group practices 10

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

Hospital & facility affiliations 1

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1013913045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232410",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921932410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921039000",
            "telephone_number": "800-926-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOWERS",
        "first_name": "JEREMY",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "15316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0083811",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0083816",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0083817",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0083810",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0083814",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ75341Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0083812",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0083813",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0083815",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.