Individual provider Active NPI

Jennifer Erin Freitas, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1578317731
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000035881 Issued in TN
Practice address
404 Camino del Rio S Ste 102
San Diego, CA 92108-3586
Phone
(800) 316-6314
NPI assigned
Apr 15, 2024
Last updated
Apr 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000035881 TN Primary

Addresses

Primary practice location

404 Camino del Rio S Ste 102
San Diego, CA 92108-3586

Mailing address

8531 Rocky Fork Rd
Smyrna, TN 37167-6171
Phone (615) 538-5255

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
I20260212003430 CA Practitioner - Nurse Practitioner 0941780670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edgar S. Macias, M.D., IncGroup PAC ID 2567630551, 13 clinicians

Practice addresses (Care Compare)

7115 N Chestnut Ave
Suite 101
Fresno, CA 93720-0361
Phone (559) 431-2397

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN0000035881TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MD Dermatology, LLC CurrentSince Jan 1, 2026 Accepting new patients
Edgar S. Macias, M.D., Inc CurrentSince Jan 1, 2026 Accepting new patients

Locations

7115 N Chestnut Ave
Ste 101
Fresno, CA 93720
Phone (559) 431-2397

319 Mall Dr
Hanford, CA 93230
Phone (559) 431-2397

Organizations & group practices 2

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": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1578317731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8531 ROCKY FORK RD",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676171",
            "telephone_number": "615-538-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 CAMINO DEL RIO S STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083586",
            "telephone_number": "800-316-6314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREITAS",
        "first_name": "JENNIFER",
        "middle_name": "ERIN",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000035881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.