Jessil Jose, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9217835 Issued in FL

Practice address

1528 Eureka Rd Ste 102
Roseville, CA 95661-3047

Phone

(916) 736-6644

Fax

(916) 774-0143

NPI assigned

Apr 16, 2009

Last updated

Jul 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Florida Atlantic University, College of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sacramento Ear Nose and Throat Surgical and Medical Group IncGroup PAC ID 6204905342, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jjose409794@hisp.ehr.sutterhealth.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.

• Sacramento Ear Nose & Throat Surgical & Medical Group Inc

  dba Sacramento Ear, Nose, & Throat

  • Otolaryngology Physician
  • Sacramento, CA
  • NPI 1497758155
  Medicare reassignment Care Compare group NPD
• Allergy Medical Group of the North Area Inc.

  • Allergy & Immunology Physician
  • Roseville, CA
  • NPI 1083612980
  NPD (past)

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1164665311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 EXPOSITION BLVD BLDG 700",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154314",
            "telephone_number": "916-736-3399",
            "fax_number": "916-736-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 EUREKA RD STE 102",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613047",
            "telephone_number": "916-736-6644",
            "fax_number": "916-774-0143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "785 Hana Way Ste 102",
            "address_purpose": "LOCATION",
            "city": "Folsom",
            "state": "CA",
            "postal_code": "956303885",
            "country_code": "US",
            "telephone_number": "916-736-6644",
            "fax_number": "916-774-0143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 Exposition Blvd Bldg 700",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958154314",
            "country_code": "US",
            "telephone_number": "916-736-3399 x1125",
            "fax_number": "916-736-3350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "935 Reserve Dr",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956781340",
            "country_code": "US",
            "telephone_number": "916-782-7758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSE",
        "first_name": "JESSIL",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-16",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9217835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Z. Jong, MD
• Esra M Jordan, LMFT
• Janine Marie Jorgensen I, LCSW
• William Jornlin, MD
• Jose D Villarica, M.D, Inc
• Martine Joseph-Nau, D.M.D.
• Journey Counseling, Incorporated
• Brian Raymond Joy, MA, LMFT # 113211
• Deseray Joycelin R Juarez
• Rosangelica Juarez

• Family Nurse Practitioner in Roseville, CA
• Providers in Roseville, 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 Jul 15, 2024; 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.