Individual provider Active NPI

Jenna Weatherson, NP

  • Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1396112496
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95014538 Issued in CA
Practice address
7130 N Millbrook Ave
Fresno, CA 93720-3347
Phone
(559) 326-1222
Fax
(559) 326-1225
NPI assigned
Aug 25, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95014538 CA Primary
Adult Health Nurse Practitioner 363LA2200X RN1037919 DC

Addresses

Primary practice location

7130 N Millbrook Ave
Fresno, CA 93720-3347

Mailing address

1510 E Herndon Ave Ste 310
Fresno, CA 93720-3393
Phone (559) 326-1222

Other practice location 1

1125 E Spruce Ave Ste 103
Fresno, CA 93720-3387
Phone (559) 878-4510

Other practice location 2

3800 Reservoir Rd NW
Lombardi Comprehensive Cancer Center
Washington, DC 20007-2113
Phone (202) 444-7345

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
I20200630000859 CA Practitioner - Nurse Practitioner 2961706056 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7130 N Millbrook Ave
Fresno, CA 93720-3347
Phone (559) 326-1222

Hospital & facility affiliations

  • Community Hospital of the Monterey Peninsula Hospital, Monterey, CA, CCN 050145

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
98.61
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95014538CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monterey Bay Oncology a Medical Corporation CurrentSince Feb 4, 2021 Accepting new patients
University of California San Francisco CurrentSince Jun 8, 2020 Accepting new patients
University of California San Francisco Current Accepting new patients
Regents of the University of California CurrentSince Jun 8, 2020 Accepting new patients
California Cancer Associates for Research and Excellence Inc CurrentSince Jan 26, 2026 Accepting new patients
UCSF Medical Group Business Services Nurse Practitioner CurrentSince Jun 8, 2020 Accepting new patients
California Cancer Associates for Research and Excellence Inc CurrentSince Jan 26, 2026 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 8, 2020 Accepting new patients
University of California San Francisco CurrentSince Jun 8, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Monterey Bay Oncology PastSince Feb 4, 2021 Accepting new patients

Locations

1125 E Spruce Ave
Ste 103
Fresno, CA 93720
Phone (553) 475-0286

1510 E Herndon Ave
Ste 310
Fresno, CA 93720
Phone (559) 326-1222

7130 N Millbrook Ave
Fresno, CA 93720
Phone (559) 326-1222

5 Harris Ct
Bldg T
Monterey, CA 93940
Phone (408) 375-4105

1825 4th St
San Francisco, CA 94143
Phone (415) 353-3000

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

Organizations & group practices 11

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": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1396112496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 E HERNDON AVE STE 310",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203393",
            "telephone_number": "559-326-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 N MILLBROOK AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203347",
            "telephone_number": "559-326-1222",
            "fax_number": "559-326-1225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 E Spruce Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937203387",
            "country_code": "US",
            "telephone_number": "559-878-4510",
            "fax_number": "559-878-4515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 Reservoir Rd NW",
            "address_2": "Lombardi Comprehensive Cancer Center",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200072113",
            "country_code": "US",
            "telephone_number": "202-444-7345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEATHERSON",
        "first_name": "JENNA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-25",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95014538",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "DC",
            "license": "RN1037919",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.