Individual provider Active NPI

Jessica Lynn Nelson, FNP

  • Family Nurse Practitioner
  • Carlsbad, CA
National Provider Identifier
1265082838
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95014065 Issued in CA
Practice address
6010 Hidden Valley Rd Ste 200
Carlsbad, CA 92011-4219
Phone
(760) 631-3000
NPI assigned
Sep 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F09190628 CA
Family Nurse Practitioner 363LF0000X NP95014065 CA Primary

Addresses

Primary practice location

6010 Hidden Valley Rd Ste 200
Carlsbad, CA 92011-4219

Mailing address

6010 Hidden Valley Rd Ste 200
Carlsbad, CA 92011-4219
Phone (760) 631-3000

Other names 1

  • Jessica Lynn Ross Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ, SD, TX, KY, LA6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20200501002947 CA Practitioner - Nurse Practitioner 7416388624 Reassigns benefits to 1 organization
I20250414000462 AZ Practitioner - Nurse Practitioner 7416388624 Reassigns benefits to 1 organization
I20251014003178 SD Practitioner - Nurse Practitioner 7416388624 Reassigns benefits to 1 organization
I20260310001504 TX Practitioner - Nurse Practitioner 7416388624 Reassigns benefits to 1 organization
I20260417002912 KY Practitioner - Nurse Practitioner 7416388624 Reassigns benefits to 1 organization
I20260522002965 LA Practitioner - Nurse Practitioner 7416388624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1717 Main St
Suite 5850
Dallas, TX 75201-4681

1717 Main St
Suite 5850
Dallas, TX 75201-7317

6984 Carnation Dr
Carlsbad, CA 92011-3814

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F09190628CAMDFamily Medicine Physician
1210817TXMDPhysical Therapy Clinic/Center
NP95014065CAMDFamily Nurse Practitioner

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.

NPI Registry JSON

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1265082838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 HIDDEN VALLEY RD STE 200",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920114219",
            "telephone_number": "760-631-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 HIDDEN VALLEY RD STE 200",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920114219",
            "telephone_number": "760-631-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "F09190628",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95014065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "ROSS",
            "middle_name": "LYNN",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.