Christina Melina Jaeger, FNP - BC
Individual provider Active NPI Family Nurse Practitioner · Rancho Mirage, CA
NPI 1245929470 · NPPES record last updated Nov 22, 2023
Key facts
- NPI
- 1245929470
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- NP95024051 (CA)
- Practice address
- 69780 Stellar Dr Ste a
Rancho Mirage, CA 92270-2954 - Phone
- (760) 424-3380
- Fax
- (760) 424-3375
- NPI assigned
- May 3, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240112001669 | CA | Practitioner - Nurse Practitioner | 3476904509 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95024051 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Algos Inc., a Medical Corporation | Current |
Accepting new patients | |
| Algos Inc., a Medical Corporation | Current |
Accepting new patients | |
| Algos Inc., a Medical Corporation | Current |
Accepting new patients | |
| Algos Inc., a Medical Corporation | Past |
Accepting new patients | |
| Algos Inc., a Medical Corporation | Past | Accepting new patients |
Locations
1017 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 403-6200
224 N Fair Oaks Ave
Ste 300
Pasadena, CA 91103
Phone (626) 696-1451
69780 Stellar Dr
#A
Rancho Mirage, CA 92270
Phone (760) 424-3380
69780 Stellar Dr
Ste A
Rancho Mirage, CA 92270
Phone (760) 424-3380
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP95024051 | CA | Yes |
Addresses
Primary practice location
69780 Stellar Dr Ste a
Rancho Mirage, CA 92270-2954
Mailing address
224 N Fair Oaks Ave Ste 300
Pasadena, CA 91103-3618
Phone (626) 696-1400
Other providers in Rancho Mirage, CA
- J.Herndons, LLC
- Parnian Jabbari
- John David Jacobson
- Jacome Medical Group
- Enrique G Jacome
- Jaehoon Lee Optometry Corp
- Arsia Jamali
- James L Merson M.D., Inc
- Alice King Janik
- Andrew Stephen Janik
All providers in Rancho Mirage, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.