Individual provider Active NPI

Jenna Roberts

  • Family Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1568898542
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00660800 Issued in NJ
Practice address
655 Montgomery St Ste 810
San Francisco, CA 94111-2677
Phone
(844) 847-8216
Fax
(415) 520-9150
NPI assigned
Sep 23, 2013
Last updated
Feb 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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 R165146 MD
Family Nurse Practitioner 363LF0000X 26NJ00660800 NJ Primary

Addresses

Primary practice location

655 Montgomery St Ste 810
San Francisco, CA 94111-2677

Mailing address

47747 Twin Pines Rd
Banning, CA 92220-9658
Phone (609) 500-0239

Other practice location 1

10 Dorrance St Ste 700
Providence, RI 02903-2014
Phone (401) 240-1385

Other practice location 2

47747 Twin Pines Rd
Banning, CA 92220-9658
Phone (609) 500-0239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, DE, CA, WA, CT, OK, AZ, LA, NC, OR, MI, IA, PA, HI, FL, AR, UT, NH, KY, WI, VT, KS, NE, MO, SD, ND, CO, NM, SC, AK, VA32 enrollments
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 32

Enrollment IDStateProvider typePAC IDDetails
I20140102000903 DC Practitioner - Nurse Practitioner 4486882131 Reassigns benefits to 1 organization
I20140103000031 MD Practitioner - Nurse Practitioner 4486882131 Reassigns benefits to 1 organization
I20140709000009 DE Practitioner - Nurse Practitioner 4486882131 Reassigns benefits to 1 organization
I20201026002865 CA Practitioner - Nurse Practitioner 4486882131 Reassigns benefits to 4 organizations
I20230421001868 WA Practitioner - Nurse Practitioner 4486882131 Reassigns benefits to 2 organizations
I20230607000610 CT Practitioner - Nurse Practitioner 4486882131 Reassigns benefits to 1 organization
I20230608000329 OK Practitioner - Nurse Practitioner 4486882131 Reassigns benefits to 1 organization
I20230629003113 AZ Practitioner - Nurse Practitioner 4486882131 Reassigns benefits to 1 organization
I20230714003300 LA Practitioner - Nurse Practitioner 4486882131 Reassigns benefits to 1 organization
I20231013001900 NC Practitioner - Nurse Practitioner 4486882131 Reassigns benefits to 1 organization
I20231110001967 OR Practitioner - Nurse Practitioner 4486882131 Reassigns benefits to 2 organizations
I20240513003672 MI Practitioner - Nurse Practitioner 4486882131 Reassigns benefits to 1 organization
I20240514000472 IA Practitioner - Nurse Practitioner 4486882131 Reassigns benefits to 1 organization
I20240514003405 PA Practitioner - Nurse Practitioner 4486882131 Reassigns benefits to 1 organization
I20240521000508 HI Practitioner - Nurse Practitioner 4486882131 Reassigns benefits to 1 organization
I20240522000138 FL Practitioner - Nurse Practitioner 4486882131 Reassigns benefits to 1 organization
I20240709002359 AR Practitioner - Nurse Practitioner 4486882131 Reassigns benefits to 1 organization
I20240710001570 UT Practitioner - Nurse Practitioner 4486882131 Reassigns benefits to 1 organization
I20240718003383 NH Practitioner - Nurse Practitioner 4486882131 Reassigns benefits to 1 organization
I20240806004526 KY Practitioner - Nurse Practitioner 4486882131 Reassigns benefits to 1 organization
I20240823003283 WI Practitioner - Nurse Practitioner 4486882131 Reassigns benefits to 1 organization
I20240918002236 VT Practitioner - Nurse Practitioner 4486882131 Reassigns benefits to 1 organization
I20240920002919 KS Practitioner - Nurse Practitioner 4486882131 Reassigns benefits to 1 organization
I20240920003024 NE Practitioner - Nurse Practitioner 4486882131 Reassigns benefits to 1 organization
I20240920003386 MO Practitioner - Nurse Practitioner 4486882131 Reassigns benefits to 1 organization
I20240923001639 SD Practitioner - Nurse Practitioner 4486882131 Reassigns benefits to 1 organization
I20240923002277 ND Practitioner - Nurse Practitioner 4486882131 Reassigns benefits to 1 organization
I20240924002153 CO Practitioner - Nurse Practitioner 4486882131 Reassigns benefits to 1 organization
I20240924002575 NM Practitioner - Nurse Practitioner 4486882131 Reassigns benefits to 1 organization
I20240930000293 SC Practitioner - Nurse Practitioner 4486882131 Reassigns benefits to 1 organization
I20241204004085 AK Practitioner - Nurse Practitioner 4486882131 Reassigns benefits to 1 organization
I20250106001735 VA Practitioner - Nurse Practitioner 4486882131 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R165146MDMDFamily Nurse Practitioner
26NJ00660800NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virta Medical P.C. CurrentSince Apr 25, 2023 Accepting new patients
Villagehealth DM LLC CurrentSince Mar 1, 2023 Accepting new patients
Openloop Healthcare Partners California PC CurrentSince Jul 24, 2025 Accepting new patients
Openloop Healthcare Partners California PC Current Accepting new patients
Nightingale Clinical Care, PC CurrentSince Aug 26, 2020 Accepting new patients
Openloop Healthcare Partners Wisconsin, SC Past Accepting new patients
Ready Responders Pennsylvania LLC PastSince Aug 1, 2024 Accepting new patients
Openloop Healthcare Partners PC Past Accepting new patients
Openloop Healthcare Partners New Jersey PC Past Accepting new patients
Total Renal Care Inc Past Accepting new patients

Locations (25 of 64)

9360 Glacier Hwy
Ste 202
Juneau, AK 99801
Phone (703) 722-6955

300 Spring Building
Ste 900
Little Rock, AR 72201
Phone 80099761969238

8825 N 23rd Ave
Ste 100
Phoenix, AZ 85021
Phone 41550438389238

902 Bear Mountain Blvd
Arvin, CA 93203
Phone (209) 543-1720

2438 N Ponderosa Dr
Ste C101
Camarillo, CA 93010
Phone (559) 664-9252

4445 Riverside Dr
Chino, CA 91710
Phone (760) 202-3491

2121 E Coast Hwy
Ste 270
Corona del Mar, CA 92625
Phone (949) 694-4937

510 E North Way
Dinuba, CA 93618
Phone (209) 473-2294

11690 San Pablo Ave
El Cerrito, CA 94530

601 Hawaii St
El Segundo, CA 90245
Phone (310) 536-2400

501 E Almond Ave
Madera, CA 93637
Phone (559) 664-9252

3001 Health Care Way
Ste 102
Modesto, CA 95356
Phone (559) 664-9255

72650 Fred Waring Dr
Ste 106
Palm Desert, CA 92260
Phone (760) 230-9990

78030 Wildcat Dr
Ste 101
Palm Desert, CA 92211
Phone (908) 845-4494

320 James Way
Ste 100
Pismo Beach, CA 93449
Phone (209) 827-3973

3 Rossi Cir
Unit A
Salinas, CA 93907
Phone (760) 371-7506

9850 Carmel Mountain Rd
San Diego, CA 92129
Phone (805) 764-0171

201 California St
Ste 1300
San Francisco, CA 94111

501 Folsom St
San Francisco, CA 94105
Phone (866) 764-7330

501 Folsom St
Fl 1
San Francisco, CA 94105

655 Montgomery St
Ste 810
San Francisco, CA 94111

555 W Benjamin Holt Dr
Ste 200
Stockton, CA 95207
Phone (661) 725-1370

30730 Russell Ranch Rd
Ste A
Westlake Village, CA 91362
Phone (805) 643-7549

2000 16th St
Denver, CO 80202
Phone (253) 733-4500

1900 W Littleton Blvd
Littleton, CO 80120
Phone 41550438389238

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1568898542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47747 TWIN PINES RD",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922209658",
            "telephone_number": "609-500-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 MONTGOMERY ST STE 810",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941112677",
            "telephone_number": "844-847-8216",
            "fax_number": "415-520-9150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Dorrance St Ste 700",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029032014",
            "country_code": "US",
            "telephone_number": "401-240-1385",
            "fax_number": "515-864-0259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "47747 Twin Pines Rd",
            "address_purpose": "LOCATION",
            "city": "Banning",
            "state": "CA",
            "postal_code": "922209658",
            "country_code": "US",
            "telephone_number": "609-500-0239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JENNA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R165146",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00660800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.