Individual provider Active NPI

Jeffrey G Kepple, MD

  • Family Medicine Physician
  • Quincy, CA
National Provider Identifier
1467428516
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G76431 Issued in CA
Practice address
1060 Valley View Drive
Quincy, CA 95971
Phone
(530) 283-5640
Fax
(530) 283-3541
NPI assigned
Feb 28, 2006
Last updated
Feb 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G76431 CA Primary

Addresses

Primary practice location

1060 Valley View Drive
Quincy, CA 95971

Mailing address

1065 Bucks Lake Road
Quincy, CA 95971
Phone (530) 283-2121

Other identifiers 1

IdentifierTypeStateIssuer
00G764310MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jkepple@PDH.cernerdirect.com Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090217000540 CA Practitioner - Family Practice 1456416957 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, San Diego School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plumas District HospitalGroup PAC ID 8224930466, 40 clinicians

Practice addresses (Care Compare)

1065 Bucks Lake Rd
Quincy, CA 95971-9507
Phone (530) 283-2121

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G76431CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plumas District Hospital CurrentSince Jun 1, 2005 Accepting new patients
Chico Dermatology Inc CurrentSince Dec 1, 2019 Accepting new patients
Plumas District Hospital CurrentSince Jun 1, 2005 Accepting new patients

Locations

774 East Ave
Chico, CA 95926
Phone (530) 774-2650

1060 Valley View Dr
Quincy, CA 95971
Phone (530) 283-5640

1065 Bucks Lake Rd
Quincy, CA 95971
Phone (530) 283-2121

Interoperability endpoints

  • Direct secure messaging: jkepple@pdh.cernerdirect.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1467428516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 BUCKS LAKE ROAD",
            "city": "QUINCY",
            "state": "CA",
            "postal_code": "95971",
            "telephone_number": "530-283-2121",
            "fax_number": "530-283-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 VALLEY VIEW DRIVE",
            "city": "QUINCY",
            "state": "CA",
            "postal_code": "95971",
            "telephone_number": "530-283-5640",
            "fax_number": "530-283-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEPPLE",
        "first_name": "JEFFREY",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G76431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G764310",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkepple@PDH.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Plumas District Hospital Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1060 Valley View Drive",
            "city": "Quincy",
            "state": "CA",
            "country_code": "US",
            "postal_code": "95971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Quincy, CA

Sources for this page

Verify at the official NPI Registry.