Individual provider Active NPI

Jennifer Irene Etcheson, MD, MS

  • Orthopaedic Surgery Physician
  • Watsonville, CA
National Provider Identifier
1225599731
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A204135 Issued in CA
Practice address
1820 Main St
Watsonville, CA 95076-3092
Phone
(831) 728-4227
Fax
(831) 728-0410
NPI assigned
Mar 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A204135 CA Primary
Orthopaedic Hand Surgery Physician 207XS0106X A204135 CA

Addresses

Primary practice location

1820 Main St
Watsonville, CA 95076-3092

Mailing address

1820 Main St
Watsonville, CA 95076-3092
Phone (831) 728-4227

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251030000644 CA Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 2769914621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
Geisel School of Medicine at Dartmouth, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pajaro Valley Health Care DistrictGroup PAC ID 6002292497, 15 clinicians

Practice addresses (Care Compare)

1820 Main St
Watsonville, CA 95076-3092
Phone (831) 728-4227

Hospital & facility affiliations

  • Watsonville Community Hospital Hospital, Watsonville, CA, CCN 050194
  • Dominican Hospital Hospital, Santa Cruz, CA, CCN 050242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Master of Science

State licenses

LicenseStateTypeSpecialty
A204135CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Current Accepting new patients
Pajaro Valley Health Care District Orthopaedic Surgery CurrentSince Jul 17, 2025 Accepting new patients

Locations

1820 Main St
Watsonville, CA 95076
Phone (831) 728-1199

65 Nielson St
Ste 125
Watsonville, CA 95076
Phone (831) 768-6266

Interoperability endpoints

  • Direct secure messaging: jetcheson287433@direct.metrohealth.org
  • Direct secure messaging: jennifer.etcheson.1@7346.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1225599731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 MAIN ST",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763092",
            "telephone_number": "831-728-4227",
            "fax_number": "831-728-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 MAIN ST",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763092",
            "telephone_number": "831-728-4227",
            "fax_number": "831-728-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETCHESON",
        "first_name": "JENNIFER",
        "middle_name": "IRENE",
        "credential": "MD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A204135",
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "A204135",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watsonville, CA

Sources for this page

Verify at the official NPI Registry.