Individual provider Active NPI

Jared Aldon Rogge

  • Acute Care Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1356822266
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95030005 Issued in CA
Practice address
1508 Alhambra Blvd Ste 200
Sacramento, CA 95816-6510
Phone
(916) 679-3590
NPI assigned
Aug 28, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X 4704248546 MI
Acute Care Nurse Practitioner 363LA2100X 95030005 CA Primary

Addresses

Primary practice location

1508 Alhambra Blvd Ste 200
Sacramento, CA 95816-6510

Mailing address

1300 Ethan Way Ste 600
Sacramento, CA 95825-2296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230626003005 FL Practitioner - Nurse Practitioner 4688926959 Reassigns benefits to 1 organization
I20241023001563 CA Practitioner - Nurse Practitioner 4688926959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary Medicine Associates Medical Group Inc.Group PAC ID 4981506730, 93 clinicians

Practice addresses (Care Compare)

5 Medical Plaza Dr
Suite 190
Roseville, CA 95661-2867
Phone (916) 679-3590

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95030005CAMDAcute Care Nurse Practitioner
4704248546MIMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Medicine Associates Sleep Lab Inc. CurrentSince Oct 1, 2024 Accepting new patients
Pulmonary Medicine Associates Medical Group, Inc CurrentSince Oct 1, 2024 Accepting new patients

Locations

6403 Coyle Ave
Ste 450
Carmichael, CA 95608
Phone (916) 482-7621

5 Medical Plaza Dr
Ste 190
Roseville, CA 95661
Phone (916) 679-3590

1300 Ethan Way
Ste 600
Sacramento, CA 95825
Phone (916) 482-7623

1508 Alhambra Blvd
Ste 200
Sacramento, CA 95816
Phone (916) 325-1040

1485 River Park Dr
Ste 200
Sacramento, CA 95815
Phone (916) 325-1040

Interoperability endpoints

  • Direct secure messaging: jrogge720106@hisp.ehr.sutterhealth.org

Organizations & group practices 3

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 2

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": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1356822266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 ETHAN WAY STE 600",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 ALHAMBRA BLVD STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958166510",
            "telephone_number": "916-679-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGGE",
        "first_name": "JARED",
        "middle_name": "ALDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-28",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "MI",
            "license": "4704248546",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95030005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.