NPIMap

Individual provider Active NPI

Jessica Flinders, FNP

  • Family Nurse Practitioner
  • Petaluma, CA
National Provider Identifier
1073769055
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
332465 Issued in CA
Practice address
104 Lynch Creek Way
Suite 10
Petaluma, CA 94954-2355
Phone
(707) 782-9123
Fax
(707) 782-9622
NPI assigned
Aug 11, 2008
Last updated
Jul 9, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 332465 CA Primary

Addresses

Primary practice location

104 Lynch Creek Way
Suite 10
Petaluma, CA 94954-2355

Mailing address

104 Lynch Creek Way
Suite 10
Petaluma, CA 94954-2355
Phone (707) 782-9123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130708000198 CA Practitioner - Nurse Practitioner 6507006954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Regents Univ of California UCSFGroup PAC ID 6305160300, 276 clinicians

Practice addresses (Care Compare)

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.9 of 100Reported as group
Quality
81.89
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.03 of 100Reported as subgroup
Quality
80.86
Promoting interoperability
76
Improvement activities
40
Cost
75.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8896CAMDAcupuncturist
332465CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regents Univ of California UCSF CurrentSince Jan 28, 2021 Accepting new patients
SRM Alliance Hospital Services Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

104 Lynch Creek Way
Ste 10
Petaluma, CA 94954
Phone (707) 762-3558

335 S McDowell Blvd
Petaluma, CA 94954
Phone (415) 493-3800

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

Interoperability endpoints

  • Direct secure messaging: jflinders178930@direct-ucsfmedicalcenter.org

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 6

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": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1073769055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 LYNCH CREEK WAY",
            "address_2": "SUITE 10",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949542355",
            "telephone_number": "707-782-9123",
            "fax_number": "707-782-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 LYNCH CREEK WAY",
            "address_2": "SUITE 10",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949542355",
            "telephone_number": "707-782-9123",
            "fax_number": "707-782-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLINDERS",
        "first_name": "JESSICA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-11",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "332465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

Verify at the official NPI Registry.