Individual provider Active NPI

Jessica Willett, M.D.

  • Emergency Medicine Physician
  • French Camp, CA
National Provider Identifier
1871934869
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A138328 Issued in CA
Practice address
500 W Hospital Rd
French Camp, CA 95231-9693
Phone
(209) 468-6000
Fax
(209) 468-7042
NPI assigned
Jul 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20044 NH
Emergency Medicine Physician 207P00000X A138328 CA Primary

Addresses

Primary practice location

500 W Hospital Rd
French Camp, CA 95231-9693

Mailing address

85 5TH Ave FL 8
New York, NY 10003-3019
Phone (646) 863-1411

Other practice location 1

16 Hospital Road
Plymouth, NH 03264-1126
Phone (603) 536-1120

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160928002855 CA Practitioner - Emergency Medicine 1951698349 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - CaliforniaGroup PAC ID 6103739131, shared by 2 NPIs, 1,278 clinicians

Practice addresses (Care Compare)

500 W Hospital Rd
French Camp, CA 95231-9693
Phone (209) 468-6000

Hospital & facility affiliations

  • San Joaquin General Hospital Hospital, French Camp, CA, CCN 050167

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A138328CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Victory Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Jan 21, 2017 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Cep America-California Emergency Medicine CurrentSince Dec 1, 2016 Accepting new patients
Golden State Emergency Physicians Inc Emergency Medicine CurrentSince Oct 1, 2016 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Mar 10, 2024 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Woodland Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Sep 1, 2017 Accepting new patients
Big River Emergency Physicians Inc Emergency Medicine CurrentSince Aug 1, 2016 Accepting new patients
San Joaquin Emergency Medical Associates Emergency Medicine CurrentSince Aug 1, 2016 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Dec 1, 2016 Accepting new patients
Anaheim Global Medical Center, Inc Past Accepting new patients
County of San Joaquin Past Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1650 Creekside Dr
Folsom, CA 95630
Phone (916) 983-7400

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

911 Sunset Dr
Hollister, CA 95023
Phone (831) 626-2640

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1700 Coffee Rd
Modesto, CA 95355
Phone (209) 526-4500

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

1325 Cottonwood St
Woodland, CA 95695
Phone (530) 662-3961

Interoperability endpoints

  • Direct secure messaging: jwillett348528@hisp.ehr.sutterhealth.org

Organizations & group practices 12

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 1

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": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1871934869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 5TH AVE FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033019",
            "telephone_number": "646-863-1411",
            "fax_number": "516-864-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W HOSPITAL RD",
            "city": "FRENCH CAMP",
            "state": "CA",
            "postal_code": "952319693",
            "telephone_number": "209-468-6000",
            "fax_number": "209-468-7042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Hospital Road",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "NH",
            "postal_code": "032641126",
            "country_code": "US",
            "telephone_number": "603-536-1120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLETT",
        "first_name": "JESSICA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "20044",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A138328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in French Camp, CA

Sources for this page

Verify at the official NPI Registry.