Individual provider Active NPI

Jemely Ramos Villegas, N.P.

  • Nurse Practitioner
  • San Luis Obispo, CA
National Provider Identifier
1861741787
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
21957 Issued in CA
Practice address
1304 Ella St Ste a
San Luis Obispo, CA 93401-4165
Phone
(805) 549-9555
Fax
(805) 549-0444
NPI assigned
Sep 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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 21957 CA Primary

Addresses

Primary practice location

1304 Ella St Ste a
San Luis Obispo, CA 93401-4165

Mailing address

1304 Ella St Ste a
San Luis Obispo, CA 93401-4165
Phone (805) 549-9555

Other identifiers 5

IdentifierTypeStateIssuer
F1112152OtherCAAMERICAN ACADEMY OF NURSE PRACTITIONERS
GU257ZOtherCAMEDICARE PTAN
503263OtherCAREGISTERED NURSE
21957OtherCANURSE PRACTITIONER LICENSE
54018OtherCAPUBLIC HEALTH NURSING LICENSE

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
I20121219000273 CA Practitioner - Nurse Practitioner 1254583354 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventist Health Physicians NetworkGroup PAC ID 3274580972, 628 clinicians

Practice addresses (Care Compare)

1154 E Grand Ave
Arroyo Grande, CA 93420-2583
Phone (805) 395-3277

Hospital & facility affiliations

  • French Hospital Medical Center Hospital, San Luis Obispo, CA, CCN 050232
  • Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107
  • Adventist Health Sierra Vista Hospital, San Luis Obispo, CA, CCN 050506

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
64.37
Promoting interoperability
100
Improvement activities
40
Cost
72.88

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network CurrentSince Mar 29, 2024 Accepting new patients
First Choice Physician Partners Current Accepting new patients
Adventist Health Physicians Network CurrentSince Mar 29, 2024 Accepting new patients
First Choice Physician Partners CurrentSince Feb 1, 2023 Accepting new patients
First Choice Physician Partners CurrentSince Feb 1, 2023 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients

Locations

1154 E Grand Ave
Arroyo Grande, CA 93420
Phone (805) 395-3277

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

1510 E Main St
Ste 104C
Santa Maria, CA 93454
Phone (805) 349-8514

1220 Las Tablas Rd
Ste 141
Templeton, CA 93465
Phone (805) 434-4315

1220 Las Tablas Rd
#1418
Templeton, CA 93465
Phone (805) 434-1825

Interoperability endpoints

  • Direct secure messaging: jemely.villegas.1@31068.direct.athenahealth.com

Organizations & group practices 6

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 3

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": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1861741787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 ELLA ST STE A",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014165",
            "telephone_number": "805-549-9555",
            "fax_number": "805-549-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 ELLA ST STE A",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014165",
            "telephone_number": "805-549-9555",
            "fax_number": "805-549-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLEGAS",
        "first_name": "JEMELY",
        "middle_name": "RAMOS",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "21957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS",
            "identifier": "F1112152",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "GU257Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "503263",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LICENSE",
            "identifier": "21957",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUBLIC HEALTH NURSING LICENSE",
            "identifier": "54018",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.