Individual provider Active NPI

Jesse Cohen

  • Primary Care Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1285456665
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95032290 Issued in CA
Practice address
2210 Del Paso Rd Ste a
Sacramento, CA 95834-9676
Phone
(916) 928-0102
NPI assigned
Oct 28, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X 95032290 CA Primary

Addresses

Primary practice location

2210 Del Paso Rd Ste a
Sacramento, CA 95834-9676

Mailing address

2210 Del Paso Rd Ste a
Sacramento, CA 95834-9676

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
I20250703001566 CA Practitioner - Nurse Practitioner 5799203691 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lumira Healthcare Single Specialty Current Accepting new patients
Lumira Healthcare CurrentSince Apr 21, 2025 Accepting new patients
Lumira Healthcare CurrentSince Apr 21, 2025 Accepting new patients
Lumira Healthcare PastSince Aug 1, 2020 Accepting new patients
Lumira Healthcare Past Accepting new patients

Locations

600 B St
Livingston, CA 95334
Phone (209) 850-3500

1140 Main St
Livingston, CA 95334
Phone (209) 394-7913

600 B St
Ste B
Livingston, CA 95334
Phone (209) 850-3500

2141 Colorado Ave
Turlock, CA 95382
Phone (209) 634-2600

Interoperability endpoints

  • Direct secure messaging: jessee.cohen.p3@direct.livingstoncommunity.nextgenshare.com

Organizations & group practices 5

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": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1285456665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 DEL PASO RD STE A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958349676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 DEL PASO RD STE A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958349676",
            "telephone_number": "916-928-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "JESSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95032290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.