NPIMap

Individual provider Active NPI

Jennifer Greenway, NP

  • Nurse Practitioner
  • Larkspur, CA
National Provider Identifier
1578021960
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95011335 Issued in CA
Practice address
2 Bon Air Rd Ste 100
Larkspur, CA 94939-1144
Phone
(415) 927-0666
Fax
(888) 401-2619
NPI assigned
Mar 5, 2019
Last updated
Mar 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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 95011335 CA Primary

Addresses

Primary practice location

2 Bon Air Rd Ste 100
Larkspur, CA 94939-1144

Mailing address

2 Bon Air Rd Ste 100
Larkspur, CA 94939-1144
Phone (415) 927-0666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200127000801 CA Practitioner - Nurse Practitioner 0941635668 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-4029

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95
Improvement activities
40
Cost
80.65

Merit-based Incentive Payment System (MIPS)

Final score
97.51 of 100Reported as group
Quality
92.74
Improvement activities
40
Cost
72.4

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95011335CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regents Univ of California UCSF CurrentSince Jun 1, 2019 Accepting new patients
University of California San Francisco CurrentSince Jun 30, 2021 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 30, 2021 Accepting new patients
UCSF Medical Group Business Services Nurse Practitioner CurrentSince Jun 30, 2021 Accepting new patients
UCSF Dept of Surgery CurrentSince Jan 22, 2022 Accepting new patients
University of California San Francisco CurrentSince Jun 30, 2021 Accepting new patients
Regents of the University of California CurrentSince Jun 30, 2021 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

2 Bon Air Rd
Ste 100
Larkspur, CA 94939

75 Rowland Way
Ste 100
Novato, CA 94945
Phone (415) 461-4000

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

3360 Geary Blvd
Ste 201
San Francisco, CA 94118
Phone (415) 353-3100

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

505 Parnassus Ave
#M316
San Francisco, CA 94143

Interoperability endpoints

  • Direct secure messaging: jgreenway107258@direct-ucsfmedicalcenter.org

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.

Hospital & facility affiliations 2

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": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1578021960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BON AIR RD STE 100",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391144",
            "telephone_number": "415-927-0666",
            "fax_number": "888-401-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BON AIR RD STE 100",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391144",
            "telephone_number": "415-927-0666",
            "fax_number": "888-401-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWAY",
        "first_name": "JENNIFER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95011335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Larkspur, CA

Sources for this page

Verify at the official NPI Registry.