Individual provider Active NPI

Jessica Price, FNP-C

  • Nurse Practitioner
  • Hayward, CA
National Provider Identifier
1104362052
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95028113 Issued in CA
Practice address
22331 Mission Blvd
Hayward, CA 94541-3911
Phone
(510) 471-5880
NPI assigned
Jan 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-142816 AL
Nurse Practitioner 363L00000X 95028113 CA Primary
Family Nurse Practitioner 363LF0000X 95028113 CA

Addresses

Primary practice location

22331 Mission Blvd
Hayward, CA 94541-3911

Mailing address

PO Box 884
Opelika, AL 36803-0884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, VT, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170308001869 AL Practitioner - Nurse Practitioner 9931483054
I20230615001515 VT Practitioner - Nurse Practitioner 9931483054 Reassigns benefits to 5 organizations
I20251126002882 CA Practitioner - Nurse Practitioner 9931483054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Open Door Community Health CentersGroup PAC ID 9436067485, shared by 11 NPIs, 113 clinicians

Practice addresses (Care Compare)

1150 Foster Ave
Arcata, CA 95521-5986
Phone (707) 826-8610

Hospital & facility affiliations

  • Providence St Joseph Hospital Hospital, Eureka, CA, CCN 050006
  • Mad River Community Hospital Hospital, Arcata, CA, CCN 050028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-142816ALMDNurse Practitioner
95028113CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of the Rutland Region, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Health Services Inc CurrentSince Dec 1, 2020 Accepting new patients
Tiburcio Vasquez Health Center, Inc. Current Accepting new patients
Community Health Centers of the Rutland Region, Inc CurrentSince Jul 1, 2023 Accepting new patients
Health Services Inc Current Accepting new patients
Community Health Centers of the Rutland Region, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Community Health Centers of the Rutland Region Inc CurrentSince Jul 1, 2023 Accepting new patients
Tiburcio Vasquez Health Center, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Tiburcio Vasquez Health Center, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Health Services, Inc. CurrentSince Dec 1, 2020 Accepting new patients
Community Health Centers of the Rutland Region, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Community Health Centers of the Rutland Region Inc Current Accepting new patients
Community Health Centers of the Rutland Region, Inc. CurrentSince Jul 1, 2023 Accepting new patients

Locations

203 N Taylor St
Autaugaville, AL 36003
Phone (334) 263-2301

107 Medical Center Dr
Clanton, AL 35045
Phone (205) 280-1478

511 E Tuskeena St
Hayneville, AL 36040
Phone (334) 548-2516

2611 Woodley Park Dr
Montgomery, AL 36116
Phone (334) 288-0009

33255 9th St
Union City, CA 94587
Phone (510) 690-6052

275 VT 30 N
Bomoseen, VT 05732
Phone (802) 468-5641

420 Grove St
Brandon, VT 05733
Phone (802) 247-6305

215 Stratton Rd
Rutland, VT 05701
Phone (802) 773-3386

71 Allen St
Ste 402
Rutland, VT 05701
Phone (800) 468-9118

1 General Wing Rd
Rutland, VT 05701
Phone (802) 773-9131

2987 Vt Route 22A
Shoreham, VT 05770
Phone (802) 897-7000

278 Vt Route 149
West Pawlet, VT 05775
Phone (800) 468-9118

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

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": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1104362052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 884",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368030884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22331 MISSION BLVD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945413911",
            "telephone_number": "510-471-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "JESSICA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-17",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-142816",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95028113",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95028113",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

Verify at the official NPI Registry.