Individual provider Active NPI

Jason Nicolas Jemera, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1477225985
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95018642 Issued in CA
Practice address
8233 E Stockton Blvd D
Sacramento, CA 95828
Phone
(916) 737-5555
NPI assigned
Oct 3, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95018642 CA Primary

Addresses

Primary practice location

8233 E Stockton Blvd D
Sacramento, CA 95828

Mailing address

8233 E Stockton Blvd Ste D
Sacramento, CA 95828-8203
Phone (916) 737-5555

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
I20211025002151 CA Practitioner - Nurse Practitioner 7719375732 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Zeam Medical Group IncGroup PAC ID 2466858667, 10 clinicians

Practice addresses (Care Compare)

508 Gibson Dr
Suite 150
Roseville, CA 95678-5796
Phone (916) 865-3670

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95018642CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspace Health CurrentSince Nov 1, 2021 Accepting new patients
Wellspace Health CurrentSince Nov 1, 2021 Accepting new patients
Wellspace Health Current Accepting new patients
Zeam Medical Group Inc CurrentSince Jun 26, 2023 Accepting new patients

Locations

508 Gibson Dr
Ste 150
Roseville, CA 95678
Phone (916) 608-0714

777 12th St
Ste 250
Sacramento, CA 95814
Phone (916) 469-4690

1820 J St
Sacramento, CA 95811
Phone (916) 550-5481

8233 E Stockton Blvd
Ste D
Sacramento, CA 95828
Phone (916) 236-4700

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1477225985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8233 E STOCKTON BLVD STE D",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958288203",
            "telephone_number": "916-737-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8233 E STOCKTON BLVD D",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95828",
            "telephone_number": "916-737-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEMERA",
        "first_name": "JASON",
        "middle_name": "NICOLAS",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-03",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95018642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.