Individual provider Active NPI

Jessie Bugbee, NP

  • Acute Care Nurse Practitioner
  • Garberville, CA
National Provider Identifier
1710608336
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95020977 Issued in CA
Practice address
733 Cedar St
Garberville, CA 95542-3201
Phone
(707) 923-2779
NPI assigned
Sep 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95020977 CA Primary

Addresses

Primary practice location

733 Cedar St
Garberville, CA 95542-3201

Mailing address

1245 Shively Flat Rd
Scotia, CA 95565-9710
Phone (707) 834-4838

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
I20221128001229 CA Practitioner - Nurse Practitioner 9830567734 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95020977CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Humboldt Community Healthcare District CurrentSince Oct 24, 2022 Accepting new patients
Southern Humboldt Community Healthcare District CurrentSince Oct 24, 2022 Accepting new patients
The Wecare Group, Inc. Past Accepting new patients

Locations

509 Elm St
Garberville, CA 95542
Phone (707) 463-2400

733 Cedar St
Garberville, CA 95542
Phone (707) 923-3921

Interoperability endpoints

  • Direct secure messaging: jbugbee625139@direct.ochin.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1710608336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 SHIVELY FLAT RD",
            "city": "SCOTIA",
            "state": "CA",
            "postal_code": "955659710",
            "telephone_number": "707-834-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 CEDAR ST",
            "city": "GARBERVILLE",
            "state": "CA",
            "postal_code": "955423201",
            "telephone_number": "707-923-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUGBEE",
        "first_name": "JESSIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95020977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garberville, CA

Sources for this page

Verify at the official NPI Registry.