Individual provider Active NPI

Marcella M Jaeger, M.D.

  • Family Medicine Physician
  • Folsom, CA
National Provider Identifier
1902858483
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G87379 Issued in CA
Practice address
1201 E Bidwell St
Folsom, CA 95630-3450
Phone
(916) 265-9665
NPI assigned
May 16, 2006
Last updated
Jun 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-101304 IL
Family Medicine Physician 207Q00000X 18516 AL
Family Medicine Physician 207Q00000X 2000148102 MO
Family Medicine Physician 207Q00000X G87379 CA Primary

Addresses

Primary practice location

1201 E Bidwell St
Folsom, CA 95630-3450

Mailing address

1201 E Bidwell St
Folsom, CA 95630-3450
Phone (916) 265-9665

Other identifiers 5

IdentifierTypeStateIssuer
2000148102OtherMOSTATE LICENSE
036-101304OtherILSTATE LICENSE
18516OtherALSTATE LICENSE
G87379OtherCASTATE LICENSE
00G87379MedicaidCA

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
I20060804000365 CA Practitioner - Family Practice 5395748602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Saint Louis University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1201 E Bidwell St
Folsom, CA 95630-3450
Phone (916) 920-6337

4112 E Commerce Way
Sacramento, CA 95834-9680
Phone (916) 447-6337

4156 Manzanita Ave
Suite 100
Carmichael, CA 95608-1496
Phone (916) 488-6337

701 Sunrise Ave
Roseville, CA 95661-4502
Phone (916) 772-6337

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18516ALMDFamily Medicine Physician
G87379CAMDFamily Medicine Physician
036-101304ILMDFamily Medicine Physician
2000148102MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Auc, PC Family Medicine Past Accepting new patients
Mdstat Urgent Care, Inc Past Accepting new patients
Mercy Hospital South Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Carbon Health Primary Care of California PC Family Medicine PastSince Jul 20, 2025 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1902858483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E BIDWELL ST",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303450",
            "telephone_number": "916-265-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E BIDWELL ST",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303450",
            "telephone_number": "916-265-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAEGER",
        "first_name": "MARCELLA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2025-06-02",
        "certification_date": "2025-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-101304",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "18516",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2000148102",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G87379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2000148102",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "036-101304",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "18516",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "G87379",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G87379",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.