Individual provider Active NPI

Joanna Jane Plumettaz, PA

  • Physician Assistant
  • Napa, CA
National Provider Identifier
1588062145
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA62986 Issued in CA
Practice address
1100 Trancas St Ste 256
Napa, CA 94558-2921
Phone
(707) 251-3604
NPI assigned
Dec 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA09577 TX
Physician Assistant 363A00000X PA62986 CA Primary
Physician Assistant 363A00000X PA09577 TX

Addresses

Primary practice location

1100 Trancas St Ste 256
Napa, CA 94558-2921

Mailing address

1100 Trancas St Ste 256
Napa, CA 94558-2921
Phone (707) 251-3604

Other practice location 1

1141 Pear Tree Ln
Napa, CA 94558-6484
Phone (707) 254-1770

Other names 1

  • Joanna Jane Nichols Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MP, CA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20160525002647 TX Practitioner - Physician Assistant 4183913577 Reassigns benefits to 1 organization
I20201106000792 MP Practitioner - Physician Assistant 4183913577 Reassigns benefits to 1 organization
I20230915002606 CA Practitioner - Physician Assistant 4183913577 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

1100 Trancas St
Napa, CA 94558-2904

1100 Trancas St
Napa, CA 94558-2909

1100 Trancas St
Suite 350
Napa, CA 94558-2959
Phone (707) 251-3681

200 W Ctr St Promenade
Anaheim, CA 92805-3960

Hospital & facility affiliations

  • Providence at Home With Compassus Home Health, Napa Valley Home health agency, Napa, CA, CCN 057659
  • Providence Queen of the Valley Medical Center Hospital, Napa, CA, CCN 050009
  • Adventist Health St Helena Hospital, Saint Helena, CA, CCN 050013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA62986CAMDPhysician Assistant
PA09577TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince Aug 2, 2023 Accepting new patients
Ole Health CurrentSince Feb 19, 2024 Accepting new patients
Ole Health CurrentSince Feb 19, 2024 Accepting new patients
Commonwealth Healthcare Corporation CurrentSince Oct 21, 2020 Accepting new patients
Commonwealth Healthcare Corporation CurrentSince Oct 21, 2020 Accepting new patients
Medhealth CurrentSince Jun 19, 2017 Accepting new patients
Providence Medical Foundation CurrentSince Aug 2, 2023 Accepting new patients
Advanced Pain & Rehabilitation Association PLLC Past Accepting new patients
Ole Health Past Accepting new patients

Locations

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

1141 Pear Tree Ln
Ste 100
Napa, CA 94558
Phone (707) 254-1778

1100 Trancas St
Ste 256
Napa, CA 94558
Phone (707) 253-7161

1100 Trancas St
Ste 209
Napa, CA 94558
Phone (707) 251-1850

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

950 E Belt Line Rd
Ste 150
Cedar Hill, TX 75104
Phone (972) 291-7863

326 Cooper St
Cedar Hill, TX 75104
Phone (262) 422-2508

3400 W Wheatland Rd
Ste 360
Dallas, TX 75237

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

4560 Lake Ridge Pkwy
Ste 110
Grand Prairie, TX 75052
Phone (972) 522-7778

613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700

Interoperability endpoints

  • Direct secure messaging: jplumettaz704134@direct.ochin.org
  • Direct secure messaging: jplumettaz3009375@oc.providencedirect.org

Organizations & group practices 11

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 4

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": "1418601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1588062145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 TRANCAS ST STE 256",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582921",
            "telephone_number": "707-251-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 TRANCAS ST STE 256",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582921",
            "telephone_number": "707-251-3604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1141 Pear Tree Ln",
            "address_purpose": "LOCATION",
            "city": "Napa",
            "state": "CA",
            "postal_code": "945586484",
            "country_code": "US",
            "telephone_number": "707-254-1770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLUMETTAZ",
        "first_name": "JOANNA",
        "middle_name": "JANE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-15",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA09577",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA62986",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09577",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNA",
            "last_name": "NICHOLS",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.