Individual provider Active NPI

Janet Elaine Conley, NP-C

  • Nurse Practitioner
  • Rancho Mirage, CA
National Provider Identifier
1174908206
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95009134 Issued in CA
Practice address
39000 Bob Hope Dr, Hirschberg BLG, Ste 310
Rancho Mirage, CA 92270-3267
Phone
(760) 568-2684
Fax
(760) 341-5832
NPI assigned
Jul 30, 2015
Last updated
Feb 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95009134 CA Primary
Family Nurse Practitioner 363LF0000X 95009134 CA

Addresses

Primary practice location

39000 Bob Hope Dr, Hirschberg BLG, Ste 310
Rancho Mirage, CA 92270-3267

Mailing address

PO Box 1730
Rancho Mirage, CA 92270-1058
Phone (760) 568-2684

Other names 1

  • Janet Elaine Gullett Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jconley90845@edirect.emc.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20160113000437 OH Practitioner - Nurse Practitioner 4183926884 Reassigns benefits to 1 organization
I20181206002387 CA Practitioner - Nurse Practitioner 4183926884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Orthopedic Center a Medical Group IncGroup PAC ID 2466346739, 49 clinicians

Practice addresses (Care Compare)

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 568-2684

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.54 of 100Reported as group
Quality
77.5
Promoting interoperability
99
Improvement activities
40
Cost
65.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95009134CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wheelersburg Internal Medicine Group Inc CurrentSince Dec 22, 2015 Accepting new patients
Desert Orthopedic Center a Medical Group Inc CurrentSince Sep 17, 2018 Accepting new patients
Eisenhower Medical Center Past Accepting new patients

Locations

45280 Seeley Dr
Fl 2
La Quinta, CA 92253
Phone (760) 834-7920

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

39000 Bob Hope Dr
Ste 310
Rancho Mirage, CA 92270

39700 Bob Hope Dr
Ste 310
Rancho Mirage, CA 92270

8048 Ohio River Rd
Wheelersburg, OH 45694
Phone (740) 574-1500

Interoperability endpoints

  • Direct secure messaging: jconley90845@edirect.emc.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1174908206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1730",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701058",
            "telephone_number": "760-568-2684",
            "fax_number": "760-341-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR, HIRSCHBERG BLG, STE 310",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703267",
            "telephone_number": "760-568-2684",
            "fax_number": "760-341-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "JANET",
        "middle_name": "ELAINE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-30",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95009134",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95009134",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jconley90845@edirect.emc.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "39000 BOB HOPE DRIVE",
            "address_2": "HARRY & DIANE RINKER BUILDING",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "country_code": "US",
            "postal_code": "92270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JANET",
            "last_name": "GULLETT",
            "middle_name": "ELAINE",
            "credential": "REFFETT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.