Individual provider Active NPI

Jessica Lyn Arnold, NP-C

  • Family Nurse Practitioner
  • Rancho Mirage, CA
National Provider Identifier
1538518949
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95004453 Issued in CA
Practice address
42600 Mirage Rd
Rancho Mirage, CA 92270-4127
Phone
(760) 423-4000
Fax
(760) 318-8103
NPI assigned
Jun 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NR12997200 NJ
Family Nurse Practitioner 363LF0000X 95004453 CA Primary

Addresses

Primary practice location

42600 Mirage Rd
Rancho Mirage, CA 92270-4127

Mailing address

42600 Mirage Rd
Ste A1
Rancho Mirage, CA 92270-4127
Phone (760) 423-4043

Other practice location 1

7000 Boulder Ave
Highland, CA 92346-3348
Phone (909) 583-2741

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
I20161208000199 CA Practitioner - Nurse Practitioner 1850671892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

42600 Mirage Rd
Suite A1
Rancho Mirage, CA 92270-4127
Phone (760) 423-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.92 of 100Reported as group
Quality
95.83
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95004453CAMDNurse Practitioner
26NR12997200NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Contour Dermatology and Cosmetic Surgery Medical Center, Apc CurrentSince Jan 2, 2018 Accepting new patients

Locations

46080 Jefferson St
La Quinta, CA 92253
Phone (760) 423-4000

11326 Mountain View Ave
#B
Loma Linda, CA 92354
Phone (760) 423-4000

558 S Paseo Dorotea
Ste 6
Palm Springs, CA 92264
Phone (760) 423-4000

558 S Paseo Dorotea
Palm Springs, CA 92264
Phone (760) 423-4000

42600 Mirage Rd
Rancho Mirage, CA 92270
Phone (760) 423-4000

42600 Mirage Rd
#A1
Rancho Mirage, CA 92270

42600 Mirage Rd
Ste A1
Rancho Mirage, CA 92270
Phone (760) 416-6971

Interoperability endpoints

  • Direct secure messaging: jlarnold@directaddress.net

Organizations & group practices 1

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.

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": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1538518949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42600 MIRAGE RD",
            "address_2": "STE A1",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704127",
            "telephone_number": "760-423-4043",
            "fax_number": "760-318-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42600 MIRAGE RD",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704127",
            "telephone_number": "760-423-4000",
            "fax_number": "760-318-8103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7000 Boulder Ave",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "CA",
            "postal_code": "923463348",
            "country_code": "US",
            "telephone_number": "909-583-2741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "JESSICA",
        "middle_name": "LYN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NR12997200",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.