Individual provider Active NPI

Jacqueline E Parker, NP

  • Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1982264156
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95011433 Issued in CA
Practice address
650 Howe Ave Ste 600
Sacramento, CA 95825-4797
Phone
(916) 953-7571
Fax
(916) 771-8515
NPI assigned
Jun 19, 2019
Last updated
Feb 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95011433 CA Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 95011433 CA

Addresses

Primary practice location

650 Howe Ave Ste 600
Sacramento, CA 95825-4797

Mailing address

729 Sunrise Ave
Ste 602
Roseville, CA 95661-4542
Phone (916) 953-7571

Other practice location 1

480 Del Norte Ave
Yuba City, CA 95991-4125
Phone (916) 953-7571

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
I20210802003388 CA Practitioner - Nurse Practitioner 9234533019 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

480 Del Norte Ave
Yuba City, CA 95991-4125
Phone (916) 953-7571

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95011433CAMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Diagnostic & Solutions, Inc. CurrentSince May 20, 2021 Accepting new patients
Advanced Pain Diagnostic & Solutions, Inc. Pain Medicine CurrentSince May 20, 2021 Accepting new patients
All Inclusive Medical Services, Inc CurrentSince Aug 1, 2024 Accepting new patients
All Inclusive Medical Services Urgent Care, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Advanced Pain Diagnostic & Solutions, Inc. PastSince Jun 28, 2020 Accepting new patients

Locations

5900 Coyle Ave
Ste A
Carmichael, CA 95608
Phone (916) 330-4447

5900 Coyle Ave
Ste B
Carmichael, CA 95608
Phone (916) 349-7600

729 Sunrise Ave
Ste 602
Roseville, CA 95661
Phone (916) 781-7882

729 Sunrise Ave
Ste 611
Roseville, CA 95661
Phone (916) 953-7571

391 Howe Ave
Ste 150
Sacramento, CA 95825
Phone (916) 285-5300

650 Howe Ave
Ste 600
Sacramento, CA 95825
Phone (916) 953-7571

480 Del Norte Ave
Yuba City, CA 95991
Phone (916) 953-7571

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jacqueline.parker.p1@direct.apdss.nextgenshare.com

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, 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": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1982264156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 SUNRISE AVE",
            "address_2": "STE 602",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614542",
            "telephone_number": "916-953-7571",
            "fax_number": "916-771-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 HOWE AVE STE 600",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254797",
            "telephone_number": "916-953-7571",
            "fax_number": "916-771-8515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 Del Norte Ave",
            "address_purpose": "LOCATION",
            "city": "Yuba City",
            "state": "CA",
            "postal_code": "959914125",
            "country_code": "US",
            "telephone_number": "916-953-7571",
            "fax_number": "916-771-8515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JACQUELINE",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95011433",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "95011433",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.