Individual provider Active NPI

Jacob Christopher Osborne, FNP

  • Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1801663752
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95027962 Issued in CA
Practice address
9802 Stockdale Hwy Ste 105
Bakersfield, CA 93311-3653
Phone
(661) 665-7880
NPI assigned
Dec 11, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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 95027962 CA Primary

Addresses

Primary practice location

9802 Stockdale Hwy Ste 105
Bakersfield, CA 93311-3653

Mailing address

15326 Albert Way
Bakersfield, CA 93314-8429
Phone (661) 378-4432

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
I20240201004344 CA Practitioner - Nurse Practitioner 1850744178 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
Pain Institute of California IncGroup PAC ID 6901895689, 3 clinicians

Practice addresses (Care Compare)

9802 Stockdale Hwy
Suite 105
Bakersfield, CA 93311-3653
Phone (661) 665-7880

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95027962CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Institute of California, Inc. CurrentSince Dec 5, 2023 Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients

Locations

9802 Stockdale Hwy
Ste 105
Bakersfield, CA 93311
Phone (661) 665-7880

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1801663752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15326 ALBERT WAY",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933148429",
            "telephone_number": "661-378-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9802 STOCKDALE HWY STE 105",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933113653",
            "telephone_number": "661-665-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "JACOB",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95027962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.