Individual provider Active NPI

Jennifer R. Nathanson, MSN, NP

  • Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1972517118
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
536405 Issued in CA
Practice address
1 Daniel Burnham CT Ste 205C
San Francisco, CA 94109-5472
Phone
(415) 221-7056
Fax
(415) 221-7058
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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 536405 CA Primary

Addresses

Primary practice location

1 Daniel Burnham CT Ste 205C
San Francisco, CA 94109-5472

Mailing address

1 Daniel Burnham CT Ste 205C
San Francisco, CA 94109-5472
Phone (415) 221-7056

Other practice location 1

400 Parnassus Ave Fl 6
A6110
San Francisco, CA 94143-2202
Phone (415) 353-2357

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
I20080805000626 CA Practitioner - Nurse Practitioner 9638243959 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
536405CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group Current Accepting new patients
Bass Medical Group CurrentSince Oct 22, 2018 Accepting new patients
Bass Medical Group CurrentSince Oct 22, 2018 Accepting new patients
Anesthesia Care Associates Medical Group Inc PastSince Feb 17, 2024 Accepting new patients
Northern California Anesthesia Past Accepting new patients

Locations

1 Daniel Burnham Ct
Ste 205C
San Francisco, CA 94109
Phone (415) 221-7046

Organizations & group practices 5

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1972517118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DANIEL BURNHAM CT STE 205C",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095472",
            "telephone_number": "415-221-7056",
            "fax_number": "415-221-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DANIEL BURNHAM CT STE 205C",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095472",
            "telephone_number": "415-221-7056",
            "fax_number": "415-221-7058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Parnassus Ave Fl 6",
            "address_2": "A6110",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941432202",
            "country_code": "US",
            "telephone_number": "415-353-2357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NATHANSON",
        "first_name": "JENNIFER",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "MSN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "536405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.