Individual provider Active NPI

Jenine Yager Stone, FNP

  • Family Nurse Practitioner
  • Escondido, CA
National Provider Identifier
1801262332
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
FNP95002748 Issued in CA
Practice address
625 W. Citracado Pkwy
Suite 108
Escondido, CA 92025
Phone
(760) 743-1431
Fax
(760) 743-6455
NPI assigned
Aug 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN95059156 CA
Family Nurse Practitioner 363LF0000X FNP95002748 CA Primary

Addresses

Primary practice location

625 W. Citracado Pkwy
Suite 108
Escondido, CA 92025

Mailing address

625 W. Citracado Pkwy
Suite 108
Escondido, CA 92025
Phone (760) 743-1431

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
I20150921003294 CA Practitioner - Nurse Practitioner 4183931397 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN95059156CAMDRegistered Nurse
FNP95002748CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North County Endocrine Medical Group CurrentSince Jul 23, 2019 Accepting new patients

Locations

625 Citracado Pkwy
Ste 108
Escondido, CA 92025
Phone (760) 743-1431

625 Citracado Pkwy
Escondido, CA 92025
Phone (760) 294-9270

700 W El Norte Pkwy
Ste 201
Escondido, CA 92026
Phone (760) 466-1554

3927 Waring Rd
Ste C
Oceanside, CA 92056
Phone (619) 703-7220

28441 Rancho California Rd
Ste 104
Temecula, CA 92590
Phone (760) 743-1431

Organizations & group practices 1

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": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1801262332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W. CITRACADO PKWY",
            "address_2": "SUITE 108",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "92025",
            "telephone_number": "760-743-1431",
            "fax_number": "760-743-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W. CITRACADO PKWY",
            "address_2": "SUITE 108",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "92025",
            "telephone_number": "760-743-1431",
            "fax_number": "760-743-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "JENINE",
        "middle_name": "YAGER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2024-04-30",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN95059156",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "FNP95002748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.