Jacey Jean Rodriguez-serva, FNP - Medicare Nurse Practitioner in Sonora, CA

Jacey Jean Rodriguez-serva, FNP is a medicare enrolled "Nurse Practitioner - Family" in Sonora, California. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sonora Community Hospital and her current practice location is 690 Guzzi Ln, Ste C, Sonora, California. You can reach out to her office (for appointments etc.) via phone at (209) 532-1919.

Jacey Jean Rodriguez-serva is licensed to practice in California (license number 19693) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1215255062.

Contact Information

Jacey Jean Rodriguez-serva, FNP
690 Guzzi Ln, Ste C,
Sonora, CA 95370-5289
(209) 532-1919
(209) 533-0782

Map and Direction




Provider's Profile

Full NameJacey Jean Rodriguez-serva
GenderFemale
SpecialityNurse Practitioner
Experience14 Years
Location690 Guzzi Ln, Sonora, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacey Jean Rodriguez-serva graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1215255062
  • Provider Enumeration Date: 05/04/2010
  • Last Update Date: 11/19/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 6608046149
  • Enrollment ID: I20110819000230

Medical Identifiers

Medical identifiers for Jacey Jean Rodriguez-serva such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215255062NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 19693 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adventist Health SonoraSonora, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sonora Community Hospital4284538505117

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacey Jean Rodriguez-serva allows following entities to bill medicare on her behalf.
Entity NameSonora Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891732418
PECOS PAC ID: 4284538505
Enrollment ID: O20031119000910
Entity NameSonora Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033100854
PECOS PAC ID: 4284538505
Enrollment ID: O20040316000829

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacey Jean Rodriguez-serva is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacey Jean Rodriguez-serva, FNP
690 Guzzi Ln, Ste C,
Sonora, CA 95370-5289

Ph: (209) 532-1919
Jacey Jean Rodriguez-serva, FNP
690 Guzzi Ln, Ste C,
Sonora, CA 95370-5289

Ph: (209) 532-1919

Reviews and Comments


Nurse Practitioner Nurses in Sonora, CA

Ms. Marsha Ann Malgesini, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 20111 Cedar Rd N, Sonora, CA 95370
Phone: 209-533-7400    Fax: 209-533-7406
Mrs. Krysta Lee Wolken, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 900 Greenley Rd Ste 922, Sonora, CA 95370
Phone: 209-536-3750    
Deborah Lynn Goreham, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 690 Guzzi Ln Ste C, Sonora, CA 95370
Phone: 209-533-0333    
Cindy Lynn Thomas, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 900 Mono Way, Sonora, CA 95370
Phone: 209-536-5000    
Karin Erica Rohn, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 20111 Cedar Rd N, Sonora, CA 95370
Phone: 209-533-7433    Fax: 209-533-7439
Mr. Clellan Michael Saulsbury, RN FNP MS
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 193 Fairview Lane, Suite L, Sonora, CA 95370
Phone: 209-536-3720    Fax: 209-536-3877
Janene R Phillips, RN, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 690 Guzzi Ln Ste C, Sonora, CA 95370
Phone: 209-233-0333    Fax: 209-533-0782

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.