Individual provider Active NPI

Jesse J Myers, ANP-BC

  • Adult Health Nurse Practitioner
  • Encinitas, CA
National Provider Identifier
1275788457
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
18224 Issued in CA
Practice address
700 Garden View CT
Suite 102
Encinitas, CA 92024-2478
Phone
(760) 436-8881
NPI assigned
Dec 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 682374 CA
Adult Health Nurse Practitioner 363LA2200X 18224 CA Primary

Addresses

Primary practice location

700 Garden View CT
Suite 102
Encinitas, CA 92024-2478

Mailing address

700 Garden View CT
Suite 102
Encinitas, CA 92024-2478
Phone (760) 436-8881

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110517000674 CA Practitioner - Nurse Practitioner 3476739921 Reassigns benefits to 2 organizations
Practice locations: Encinitas, CA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
United Medical DoctorsGroup PAC ID 2961305651, 168 clinicians

Practice addresses (Care Compare)

521 E Elder St
Suite 104
Fallbrook, CA 92028-3082
Phone (760) 728-9560

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
682374CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Doctors CurrentSince Sep 1, 2020 Accepting new patients
Scripps Health Current Accepting new patients
Acute Care Associates, Inc CurrentSince Jun 14, 2022 Accepting new patients
United Medical Doctors CurrentSince Sep 1, 2020 Accepting new patients

Locations

2083 Compton Ave
Ste 104
Corona, CA 92881
Phone (951) 256-8191

700 Garden View Ct
Ste 102
Encinitas, CA 92024
Phone (760) 783-0441

477 N El Camino Real
Ste A308
Encinitas, CA 92024
Phone (760) 436-8700

354 Santa Fe Dr
Encinitas, CA 92024
Phone (760) 230-2251

521 E Elder St
Ste 104
Fallbrook, CA 92028
Phone (760) 728-9560

28078 Baxter Rd
Ste 530
Murrieta, CA 92563
Phone (951) 290-5472

400 Newport Center Dr
Ste 609
Newport Beach, CA 92660
Phone (949) 760-0398

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9170/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jmyers42347@scrippshlth.medalliesdirect.net

Organizations & group practices 4

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": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1275788457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 GARDEN VIEW CT",
            "address_2": "SUITE 102",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242478",
            "telephone_number": "760-436-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 GARDEN VIEW CT",
            "address_2": "SUITE 102",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242478",
            "telephone_number": "760-436-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "JESSE",
        "middle_name": "J",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "682374",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "18224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.