Jeanine A Ishak, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

12576 Issued in CA

Practice address

32144 Agoura Rd
Ste 106
Westlake Village, CA 91361-4040

Phone

(805) 379-3376

Fax

(805) 379-3267

NPI assigned

May 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jeanine Adriana Schuttenhelm Former name

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

Specialty

Nurse Practitioner

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Medical Group of Oxnard and CamarilloGroup PAC ID 1850365016, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Dermatology Medical Group of Oxnard and Camarillo

  • Dermatology Physician
  • Oxnard, CA
  • NPI 1871526145
  Medicare reassignment Care Compare group NPD
• Daphne I Panagotacos MD

  • Dermatopathology Physician
  • Westlake Village, CA
  • NPI 1295999274
  Medicare reassignment NPD
• Daphne I Panagotacos MD

  • Specialist
  • Westlake Village, CA
  • NPI 1740378280
  NPD

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1962456475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 N VENTURA RD",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362213",
            "telephone_number": "805-983-0343",
            "fax_number": "805-983-3285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32144 AGOURA RD",
            "address_2": "STE 106",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614040",
            "telephone_number": "805-379-3376",
            "fax_number": "805-379-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHAK",
        "first_name": "JEANINE",
        "middle_name": "A",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "12576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANINE",
            "last_name": "SCHUTTENHELM",
            "middle_name": "ADRIANA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniel Pablo Iraheta Montejo
• John Andrew Irias, LMFT
• Irma Sommerfeld Licensed Clinical Social Worker a Professional Corp
• Stephen Irshay
• Teresa M Irvin, LMFT
• Deepa Israni
• J Slaght MD Corporation
• Denise M Jablonski-Kaye, PH.D.
• Charleston R Jackson
• Lenore Alice Jacobs-Caffey, PHD

• Nurse Practitioner in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.