Jenifer Rezende Sullivan, FNP in San Fernando, CA

Jenifer Rezende Sullivan, FNP is a medicare enrolled "Nurse Practitioner - Family" in San Fernando, California. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice San Fernando Community Hospital and her current practice location is 732 Mott Street, 100-110, San Fernando, California. You can reach out to her office (for appointments etc.) via phone at (818) 963-5690.

Jenifer Rezende Sullivan is licensed to practice in California (license number NP95011562) 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 1326501503.

Contact Information

	Jenifer Rezende Sullivan, FNP
	732 Mott Street, 100-110, San Fernando, CA 91340-4237
	(818) 963-5690
	Not Available

Map and Direction

Provider's Profile

Full Name	Jenifer Rezende Sullivan
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	732 Mott Street, San Fernando, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jenifer Rezende Sullivan graduated from nursing school in 2018

NPI Data:

NPI Number: 1326501503
Provider Enumeration Date: 04/13/2019
Last Update Date: 10/10/2023

Medicare PECOS Information:

PECOS PAC ID: 5092125401
Enrollment ID: I20201112002825

Medical Identifiers

Medical identifiers for Jenifer Rezende Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326501503	NPI	-	NPPES
95011562	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95011562 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	NP95011562 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
San Fernando Community Hospital	7719298728	6

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. Jenifer Rezende Sullivan allows following entities to bill medicare on her behalf.

Entity Name	San Fernando Community Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245669555 PECOS PAC ID: 7719298728 Enrollment ID: O20150617002164

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. Jenifer Rezende Sullivan 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 Address	Practice Location Address
Jenifer Rezende Sullivan, FNP 732 Mott Street, 100-110, San Fernando, CA 91340-4237 Ph: (818) 963-5690	Jenifer Rezende Sullivan, FNP 732 Mott Street, 100-110, San Fernando, CA 91340-4237 Ph: (818) 963-5690

Reviews and Comments

Nurse Practitioner Nurses in San Fernando, CA

Ms. Jayne S Shoda, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 San Fernando Rd., San Fernando, CA 91340 Phone: 818-365-8086 Fax: 818-898-4826
Ms. Rebecca Lee Cross, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 San Fernando Rd, San Fernando, CA 91340 Phone: 818-365-8086 Fax: 818-898-4826
Tiffany Rose Leano Ynoquio, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 732 Mott St, San Fernando, CA 91340 Phone: 818-963-5690 Fax: 818-365-0726
Elizabeth Maria Garcia, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 732 Mott St # 100-110, San Fernando, CA 91340 Phone: 818-963-5690
Ms. Kathryn Roene Steffen, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 San Fernando Rd., San Fernando, CA 91340 Phone: 818-365-8086 Fax: 818-898-4826
Aura Veliz, RNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 405 N Maclay Ave, Suite 104, San Fernando, CA 91340 Phone: 818-361-3318 Fax: 818-361-7309
Mrs. Rowena Reyes Alcantara-fernandez, N.P. Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1600 San Fernando Road, San Fernando, CA 91340 Phone: 818-365-8086 Fax: 818-898-4826

Jenifer Rezende Sullivan, FNP - Medicare Nurse Practitioner in San Fernando, CA