Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114940988 Individual Practitioner Female Practitioner

Stephanie D Jenniches , NP

Nurse Practitioner • Upland, CA

Professional Overview & Biography Verified Profile Summary

Stephanie Jenniches, NP is a registered healthcare professional specializing in Nurse Practitioner in Upland, CA. Practice services are available at 999 SAN BERNARDINO RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

999 San Bernardino Rd

Upland, CA 917864920

Telephone 9099852811
Fax 8185872493
Associated Practice Facility / Clinic
🏢 San Antonio Regional Hospital Facility NPI 1780681189

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Upland, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.5 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
25 Specialists

Practicing in Upland, CA (8378 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
87.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
24 22 $393.00 $48.89

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA NP9412

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
RN513294 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Stephanie Rasmussen , NP

Nurse Practitioner

NPI 1003195827

Nurse Practitioner

Dr. James Pagano , MD

Emergency Medicine

NPI 1003855826

Doctor of Medicine (M.D.)

Shannon Ynfante , RN FIRST ASSISTANT

Registered Nurse - Registered Nurse First Assistant

NPI 1013142413

RNFIRSTASSISTANT

Dr. Kevin Parkes , MD

Emergency Medicine

NPI 1013938711

Doctor of Medicine (M.D.)

Carl Tjerandsen , PA

Physician Assistant

NPI 1023044427

Physician Assistant

Dr. Roger Woodard , MD

Emergency Medicine

NPI 1023054798

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 999 SAN BERNARDINO RD, UPLAND, CA 917864920 (Tel: 9099852811)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 4419, WOODLAND HILLS, CA 913654419 (Tel: 8183409988)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as STEPHANIE JENNICHES, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #NP9412 in CA)

🟢
Initial NPI Registration & Enumeration July 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114940988
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

Po Box 4419

Woodland Hills, CA 913654419

Phone: 8183409988

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.