Jessica Marie Genoble, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95029641 Issued in CA

Practice address

683 Lomas Santa Fe Dr
Solana Beach, CA 92075-1412

Phone

(858) 755-6697

NPI assigned

Jan 10, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prisma Health Urgent Care of South Carolina PCGroup PAC ID 1254703788, 158 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prisma Health Greer Memorial Hospital Hospital, Spartanburg, SC, CCN 420033

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989

Interoperability endpoints

• Direct secure messaging: jgenoble843035@direct.ghs.myhfn.org

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.

• Prisma Health Urgent Care of South Carolina, PC

  dba Prisma Health Urgent Care

  • Urgent Care Clinic/Center
  • Greenville, SC
  • NPI 1851000855

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Ich ER Services, LLC

  • Emergency Medicine Physician
  • Anderson, SC
  • NPI 1174002059
  Medicare reassignment
• Minuteclinic Diagnostic Medical Group of California Inc

  • Family Nurse Practitioner
  • Burbank, CA
  • NPI 1033309372

  Single Specialty

  NPD
• Minuteclinic Diagnostic Medical Group of Orange County Inc

  • Nurse Practitioner
  • Irvine, CA
  • NPI 1104013879

  Single Specialty

  NPD
• Minuteclinic Diagnostic Medical Group of San Diego Inc

  • Family Nurse Practitioner
  • El Cajon, CA
  • NPI 1568659233

  Single Specialty

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prisma Health-Upstate

  dba Prisma Health Center For Family Medicine-Greer

  • Clinic/Center
  • Greer, SC
  • NPI 1538658455

  Hospital

  Care Compare affiliation
• Prisma Health-Upstate

  dba Prisma Health OP Surgery Spartanburg

  • General Acute Care Hospital
  • Spartanburg, SC
  • NPI 1629432869
  Care Compare affiliation
• Prisma Health-Upstate

  dba Prisma Health Wound Healing and HBO-Greer

  • General Acute Care Hospital
  • Greer, SC
  • NPI 1821760430
  Care Compare affiliation
• Prisma Health-Upstate

  dba Prisma Health Greer Memorial Hospital

  • General Acute Care Hospital
  • Greer, SC
  • NPI 1982150009
  Care Compare affiliation

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1114798030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "683 LOMAS SANTA FE DR",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751412",
            "telephone_number": "858-755-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "683 LOMAS SANTA FE DR",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751412",
            "telephone_number": "858-755-6697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3322 N Main St",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296214108",
            "country_code": "US",
            "telephone_number": "864-715-3309",
            "fax_number": "864-715-3312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENOBLE",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-10",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "29410",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95029641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gaspar Physical Therapy a Professional Corporation
• Gerbarg Physical Therapy, Inc. (One Nine Sports Medicine and Physical Therapy, Inc.)
• David S Gerbarg, PT, DPT
• Theodore Luke Germanos, M.D.
• Ryan Gessay, D.C.
• Parinaz Ghahramani, LMFT

• Family Nurse Practitioner in Solana Beach, CA
• Providers in Solana Beach, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.