Jessica Gerner Vadovicky, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95011038 Issued in CA

Practice address

4201 Long Beach Blvd Ste 203
Long Beach, CA 90807-2020

Phone

(562) 427-3897

Fax

(562) 595-7703

NPI assigned

May 16, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Gerner Former name

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Aleksandra Wirga, M.D., Inc.Group PAC ID 3072649722, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: foresightmentalhealth.jessicavadovicky@156153.advancedmd-direct.com
• Direct secure messaging: jessica.vadovicky.1@25119.direct.athenahealth.com

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.

• Aleksandra Wirga, M.D., Inc.

  • Psychiatry Physician
  • Long Beach, CA
  • NPI 1861716953
  Medicare reassignment Care Compare group NPD
• Foresight Mental Health

  • Counselor
  • Sacramento, CA
  • NPI 1902390537

  Psychiatric/Mental Health

  Medicare reassignment NPD

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1164088944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 LONG BEACH BLVD STE 203",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072020",
            "telephone_number": "562-427-3897",
            "fax_number": "562-595-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 LONG BEACH BLVD STE 203",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072020",
            "telephone_number": "562-427-3897",
            "fax_number": "562-595-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADOVICKY",
        "first_name": "JESSICA",
        "middle_name": "GERNER",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95011038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "GERNER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• VA MC Long Beach
• Vanda VA
• Yoana R Vaca Macias, LVN
• Veronica Vaca
• Tanate Vachira, PA-C
• John Paul Vail
• Ashley Vaillancourt, PHD
• Lidia Valadez-Becerra
• Evelyn Joany Valadez
• Ibeth Araceli Valadez, MSW

• Psychiatric/Mental Health Nurse Practitioner in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.