JACQUELINE ANDERSON NPI 1205245255

NPI Details

Jacqueline Anderson is a family nurse practitioner in Santa Rosa, CA with 12 years of experience. Jacqueline Anderson NPI is 1205245255. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2014

The provider's business location address is:

2057 NORTHFIELD DR
SANTA ROSA, CA
ZIP 95403-073
Phone: (707) 775-8510

The NPI 1205245255 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Injection, denosumab, 1 mg (HCPCS:J0897)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
• Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
• Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
• Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)
• Influenza vaccine, quadrivalent derived from recombinant dna (HCPCS:90682)
• Injection of drug or substance under skin or into muscle (HCPCS:96372)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Administration of pneumococcal vaccine (HCPCS:G0009)
• Automated urinalysis test (HCPCS:81003)
• Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
• Removal of impacted ear wax (HCPCS:69210)
• Pneumococcal vaccine, 23-valent (HCPCS:90732)

The enumeration date for this NPI number is 8/4/2014 and was last updated on 10/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: