Active NPI
Jennifer Olenchuk, RN BSN MMCP
- Medical-Surgical Registered Nurse
- Jackson, CA
National Provider Identifier
1497634117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Registered Nurse
- License
- 827534
- Practice address
- 200 Mission Blvd
Jackson, CA 95642-2564 - Phone
- (916) 220-3625
- NPI assigned
- Aug 27, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 827534 | CA | Primary |
Addresses
Primary practice location
200 Mission Blvd
Jackson, CA 95642-2564
Mailing address
12501 New York Ranch Rd
Jackson, CA 95642-9553
Phone (916) 220-3625
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 827534 | CA | MD | Medical-Surgical Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756252800000",
"number": "1497634117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12501 NEW YORK RANCH RD",
"city": "JACKSON",
"state": "CA",
"postal_code": "956429553",
"telephone_number": "916-220-3625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MISSION BLVD",
"city": "JACKSON",
"state": "CA",
"postal_code": "956422564",
"telephone_number": "916-220-3625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLENCHUK",
"first_name": "JENNIFER",
"credential": "RN BSN MMCP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-27",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "CA",
"license": "827534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.