Active NPI
Michael Lawrence Jensen, D.O.
- Physical Medicine & Rehabilitation Physician
- Grass Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 20A7018
- Practice address
- 380 Sierra College Dr
Ste 200
Grass Valley, CA 95945-5081 - Phone
- (530) 477-0893
- Fax
- (530) 477-1450
- NPI assigned
- Sep 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 20A7018 | CA | Primary |
Addresses
Primary practice location
380 Sierra College Dr
Ste 200
Grass Valley, CA 95945-5081
Mailing address
10556 Combie Rd
#6439
Auburn, CA 95602-8908
Phone (530) 268-4664
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20A7018 | Other | CA | BLUE CROSS |
| 20A7018 | Other | CA | BLUE SHIELD |
| P00036911 | Other | CA | MEDICARE RR |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Michigan State University College of Osteopathic Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
380 Sierra College Dr
Grass Valley, CA 95945-5092
Phone (530) 477-0893
Hospital & facility affiliations
- Sierra Nevada Memorial Hospital
- Sutter Auburn Faith Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.99 of 100
- Quality
- 82.48
- Promoting interoperability
- 93
- Improvement activities
- 40
- Cost
- 76.66
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A7018 | CA | MD | Physical Medicine & Rehabilitation Physician |
| 7018 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain View Rehabilitation Medical Associates, Inc. | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Sierra Nevada Memorial-Miners Hospital | Past | Accepting new patients | |
| MJ Silva Medical Corporation | Past | Accepting new patients |
Locations
10566 Combie Rd
Auburn, CA 95602
Phone (530) 320-6577
380 Sierra College Dr
Ste 200
Grass Valley, CA 95945
Phone (530) 477-0893
Organizations & group practices 3
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.
-
- Physical Medicine & Rehabilitation Physician
- Grass Valley, CA
- NPI 1043317324
-
- Interventional Pain Medicine Physician
- Grass Valley, CA
- NPI 1023833258
-
- General Acute Care Hospital
- Grass Valley, CA
- NPI 1659361392
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grass Valley, CA
- NPI 1659361392
-
- General Acute Care Hospital
- Auburn, CA
- NPI 1194774299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972603512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10556 COMBIE RD",
"address_2": "#6439",
"city": "AUBURN",
"state": "CA",
"postal_code": "956028908",
"telephone_number": "530-268-4664",
"fax_number": "530-268-4666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 SIERRA COLLEGE DR",
"address_2": "STE 200",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959455081",
"telephone_number": "530-477-0893",
"fax_number": "530-477-1450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "MICHAEL",
"middle_name": "LAWRENCE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "20A7018",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "20A7018",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "20A7018",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P00036911",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.