Lena Bharat Jesrani, MSN, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Cottonwood, CA
NPI 1083934855 · NPPES record last updated Apr 5, 2019
Key facts
- NPI
- 1083934855
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- NP19382 (CA)
- Practice address
- 20833 Long Branch Dr
Cottonwood, CA 96022-8701 - Phone
- (530) 527-0414
- NPI assigned
- Jun 3, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191223002312 | CA | Order and Referring Only - Nurse Practitioner | 7517149255 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP19382 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health | Past | Accepting new patients | |
| Catholic Healthcare West | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients |
Interoperability endpoints
- lena.jesrani.2@10692.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 19382 | CA | |
| Family Nurse Practitioner | 363LF0000X | NP19382 | CA | Yes |
Addresses
Primary practice location
20833 Long Branch Dr
Cottonwood, CA 96022-8701
Mailing address
2450 Sister Mary Columba Dr
Red Bluff, CA 96080-4356
Phone (530) 527-0414
Other providers in Cottonwood, CA
- Heathermauldinlcsw LLC
- Donna Holscher
- Naomi Nicole Hunt
- Nicole Marie Iles
- Jacqueline Jardine
- Gregory R Kusic
- Lassen Medical Group Inc
- Elyssa Lynn Lawson
- Myers Lor
- Michael Loustalet
All providers in Cottonwood, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.