Individual provider Active NPI

Jane Maureen Egbufoama, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1417469248
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95014807 Issued in CA
Practice address
2180 Harvard St Ste 210
Sacramento, CA 95815-3318
Phone
(855) 501-1004
NPI assigned
Nov 2, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X AP61503070 WA
Family Nurse Practitioner 363LF0000X RN142038 GA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95014807 CA Primary

Addresses

Primary practice location

2180 Harvard St Ste 210
Sacramento, CA 95815-3318

Mailing address

3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954

Other practice location 1

6505 216th St SW Ste 100
Mountlake Terrace, WA 98043-2089
Phone (425) 678-6463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CA, WA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20180628002570 GA Practitioner - Nurse Practitioner 6709132020 Reassigns benefits to 1 organization
I20230510000158 CA Practitioner - Nurse Practitioner 6709132020 Reassigns benefits to 1 organization
I20241001001985 WA Practitioner - Nurse Practitioner 6709132020 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
Telehealth
Offers telehealth services
Group practices
Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians

Practice addresses (Care Compare)

2180 Harvard St
Suite 210
Sacramento, CA 95815-3318
Phone (855) 501-1004

21907 64TH Ave W
Suite 200
Mountlake Terrace, WA 98043-6200
Phone (425) 640-7009

320 NE 97TH St
Suite a
Seattle, WA 98115-2042
Phone (425) 640-7009

6505 216TH St SW
Suite 100
Mountlake Terrace, WA 98043-2089
Phone (425) 640-7009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN142038GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Njoy Health Group Inc Multi-Specialty CurrentSince Aug 26, 2024 Accepting new patients
New Horizons Area MH Mr Sa Program Multi-Specialty CurrentSince Nov 2, 2017 Accepting new patients
Mindful Therapy Group PC Multi-Specialty CurrentSince Apr 17, 2025 Accepting new patients
Mark David Levine, M.D. Professional Corporation CurrentSince Feb 2, 2023 Accepting new patients
Mark David Levine, MD Burlingame PC CurrentSince Feb 2, 2023 Accepting new patients
Mark David Levine M.D. Professional Corporation Multi-Specialty Current Accepting new patients
Heal Doctors Ihwa, P.C. Multi-Specialty PastSince Jan 19, 2021 Accepting new patients
Mercymed of Columbus Inc Multi-Specialty PastSince Jan 5, 2026 Accepting new patients

Locations

1590 Drew Ave
Ste 200
Davis, CA 95618
Phone (530) 297-7500

3835 N Freeway Blvd
Ste 100
Sacramento, CA 95834
Phone (916) 576-7898

2180 Harvard St
Ste 210
Sacramento, CA 95815
Phone (916) 567-3500

2100 Comer Ave
Columbus, GA 31904
Phone (706) 323-0174

8735 Dunwoody Pl
#7044
Sandy Springs, GA 30350
Phone (770) 256-1890

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

101 Elliott Ave W
Ste 500
Seattle, WA 98119
Phone (206) 708-6432

100 N Howard St
Spokane, WA 99201
Phone (206) 201-1163

Organizations & group practices 8

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": "1509580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1417469248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 N FREEWAY BLVD STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 HARVARD ST STE 210",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958153318",
            "telephone_number": "855-501-1004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6505 216th St SW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mountlake Terrace",
            "state": "WA",
            "postal_code": "980432089",
            "country_code": "US",
            "telephone_number": "425-678-6463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EGBUFOAMA",
        "first_name": "JANE",
        "middle_name": "MAUREEN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-02",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61503070",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN142038",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95014807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.