Individual provider Active NPI

Jennifer Zernec, D.O.

  • Emergency Medicine Physician
  • Ukiah, CA
National Provider Identifier
1285981027
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
16350 Issued in CA
Practice address
275 Hospital Dr
Ukiah, CA 95482-4531
Phone
(707) 463-7330
NPI assigned
Aug 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ED0322A WV
Emergency Medicine Physician 207P00000X 16350 CA Primary

Addresses

Primary practice location

275 Hospital Dr
Ukiah, CA 95482-4531

Mailing address

4830 Orr Springs Rd
Ukiah, CA 95482-9110
Phone (586) 839-1317

Other practice location 1

350 Bonar Ave
Waynesburg, PA 15370-1608
Phone (724) 627-3101

Other practice location 2

2000 Eoff St
Wheeling, WV 26003-3823
Phone (304) 234-8177

Other practice location 3

2000 Eoff St
Wheeling, WV 26003-3823
Phone (304) 234-8177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, CA, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160331001868 WV Practitioner - Emergency Medicine 6204137375 Reassigns benefits to 1 organization
I20181010003499 CA Practitioner - Emergency Medicine 6204137375
I20241114000149 NC Practitioner - Emergency Medicine 6204137375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Forest Emergency ProvidersGroup PAC ID 7012819816, 497 clinicians

Practice addresses (Care Compare)

920 Church St N
Concord, NC 28025-2927
Phone (704) 403-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
94.76
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
ED0322AWVMDEmergency Medicine Physician
2726WVMDPhysical Therapist
16350CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Emergency Providers CurrentSince Jul 29, 2024 Accepting new patients
Health Care Alliance, Inc. Emergency Medicine CurrentSince Mar 1, 2016 Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

920 Church St N
Concord, NC 28025
Phone (704) 403-3000

20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101

Interoperability endpoints

  • Direct secure messaging: jzernec2909326@carolinashealthcaresystem.direct-ci.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 7

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": "1344643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1285981027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 ORR SPRINGS RD",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954829110",
            "telephone_number": "586-839-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 HOSPITAL DR",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824531",
            "telephone_number": "707-463-7330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Bonar Ave",
            "address_purpose": "LOCATION",
            "city": "Waynesburg",
            "state": "PA",
            "postal_code": "153701608",
            "country_code": "US",
            "telephone_number": "724-627-3101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Eoff St",
            "address_purpose": "LOCATION",
            "city": "Wheeling",
            "state": "WV",
            "postal_code": "260033823",
            "country_code": "US",
            "telephone_number": "304-234-8177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Eoff St",
            "address_purpose": "LOCATION",
            "city": "Wheeling",
            "state": "WV",
            "postal_code": "260033823",
            "country_code": "US",
            "telephone_number": "304-234-8177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZERNEC",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-11",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "ED0322A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "16350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ukiah, CA

Sources for this page

Verify at the official NPI Registry.