Individual provider Active NPI

Jessica Ann Kandybe, NP

  • Nurse Practitioner
  • Redding, CA
National Provider Identifier
1487255816
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95016474 Issued in CA
Practice address
2425 Sonoma St
Redding, CA 96001-3026
Phone
(530) 241-1144
NPI assigned
Nov 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95016474 CA Primary

Addresses

Primary practice location

2425 Sonoma St
Redding, CA 96001-3026

Mailing address

1100 Butte St
Redding, CA 96001-0852
Phone (530) 244-5400

Other practice location 1

3550 Churn Creek Rd
Redding, CA 96002-2718
Phone (530) 222-3630

Other practice location 2

1100 Butte St
Redding, CA 96001-0852
Phone (530) 244-5400

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
I20210917002763 CA Practitioner - Nurse Practitioner 8527465566 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardinal Emergency Providers Professional CorporationGroup PAC ID 3072005354, 28 clinicians
Trinity Emergency PhysiciansGroup PAC ID 4284171166, 47 clinicians
Mohamed H Khan MD IncGroup PAC ID 6608815808, 9 clinicians

Practice addresses (Care Compare)

1100 Butte St
Redding, CA 96001-0852
Phone (530) 244-5400

2425 Sonoma St
Redding, CA 96001-3026
Phone (530) 241-1144

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.07 of 100Reported as group
Quality
81.77
Improvement activities
40
Cost
74.21

Merit-based Incentive Payment System (MIPS)

Final score
81.49 of 100Reported as group
Quality
60.52
Promoting interoperability
100
Improvement activities
40
Cost
68.7

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Enloe Medical Center CurrentSince Sep 11, 2023 Accepting new patients
Enloe Medical Center Current Accepting new patients
Trinity Emergency Physicians CurrentSince Mar 1, 2025 Accepting new patients
Mohamed H Khan MD Inc CurrentSince Nov 13, 2023 Accepting new patients
Enloe Medical Center CurrentSince Sep 11, 2023 Accepting new patients

Locations

185 E 7th Ave
Chico, CA 95926
Phone (530) 332-4400

1100 Butte St
Redding, CA 96001
Phone (530) 227-6361

2102 Civic Center Dr
Redding, CA 96001
Phone (530) 241-1144

2425 Sonoma St
Redding, CA 96001
Phone (530) 241-1144

1355 East St
Ste 200
Redding, CA 96001
Phone (530) 229-2940

525 W Acacia St
Stockton, CA 95203
Phone (209) 944-5410

Organizations & group practices 6

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 5

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": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1487255816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 BUTTE ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010852",
            "telephone_number": "530-244-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 SONOMA ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013026",
            "telephone_number": "530-241-1144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3550 Churn Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960022718",
            "country_code": "US",
            "telephone_number": "530-222-3630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Butte St",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960010852",
            "country_code": "US",
            "telephone_number": "530-244-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANDYBE",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95016474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.