Individual provider Active NPI

Jessica Priscilla Villafana, FNP-C

  • Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1063177673
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95025492 Issued in CA
Practice address
6401 Truxtun Ave
Bakersfield, CA 93309-0613
Phone
(661) 616-1671
NPI assigned
Nov 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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 95025492 CA Primary

Addresses

Primary practice location

6401 Truxtun Ave
Bakersfield, CA 93309-0613

Mailing address

6401 Truxtun Ave
Bakersfield, CA 93309-0613
Phone (661) 616-1671

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
I20250515001314 CA Practitioner - Nurse Practitioner 2365960143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Institute for Skin CancerGroup PAC ID 7214466309, 7 clinicians

Practice addresses (Care Compare)

6401 Truxtun Ave
Bakersfield, CA 93309-0613
Phone (661) 616-1671

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95025492CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Institute for Skin Cancer CurrentSince Mar 7, 2025 Accepting new patients

Locations

6401 Truxtun Ave
Bakersfield, CA 93309
Phone (661) 327-9300

2701 Chester Ave
Bakersfield, CA 93301
Phone (661) 326-1600

2701 Chester Ave
Ste 103
Bakersfield, CA 93301
Phone (661) 550-0002

20111 W Valley Blvd
Tehachapi, CA 93561
Phone (661) 238-0600

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00364

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1063177673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 TRUXTUN AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090613",
            "telephone_number": "661-616-1671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 TRUXTUN AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090613",
            "telephone_number": "661-616-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAFANA",
        "first_name": "JESSICA",
        "middle_name": "PRISCILLA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95025492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.