JENNIFER RANCHEZ (N.P.) – Nurse Practitioner, NPI 1093757064

JENNIFER RANCHEZ (N.P.) is a healthcare provider. based in Los angeles, California. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. 04/20/1977 (CA). The NPI Number for JENNIFER RANCHEZ (N.P.) is 1093757064

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER RANCHEZ (N.P.)
NPI
1093757064
Phone
(323) 260-5800
Address
1720 E CESAR CHAVEZ AVE
Enumeration Date
12 June 2006
Last Update Date
31 July 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8188855396
Graduation Year
2003 (23 years ago)
PAC ID
5092614412
Group Practice PAC ID
0345521613
Professional Enrollment ID
I20040105000886
Address ID
CA913254105NO18300BLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

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Provider Addresses for JENNIFER RANCHEZ (N.P.)

  • Metro 68, 770 Cesar Chavez Ave & Mednik Ave, East Cesar E Chavez Avenue, Maravilla, East Los Angeles, Los Angeles County, California, 90022, United States

    LOS ANGELES, CA 900332414

    Phone: (323) 260-5800

    Type: Mailing

  • 1720, East Cesar E Chavez Avenue, Boyle Heights, Los Angeles, Los Angeles County, California, 90033, United States

    EMERGENCY DEPT.

    LOS ANGELES, CA 900332414

    Phone: (323) 268-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-01-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040105000886INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90033)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345521613View full group profile
NameSpecialtyState
-NY
Emergency MedicineCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Emergency MedicineCA
Emergency MedicinePA
Emergency MedicineCA
Emergency MedicineNY
Emergency MedicineCO

Reviews

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Frequently asked questions

What number should I use to identify JENNIFER RANCHEZ (N.P.) for billing?
Administrative and clinical systems typically use NPI 1093757064 for JENNIFER RANCHEZ (N.P.).
Is JENNIFER RANCHEZ (N.P.) currently accepting referrals based on NPI status?
Registry metadata lists JENNIFER RANCHEZ (N.P.) as active.
How should patients interpret JENNIFER RANCHEZ (N.P.)'s specialty?
The extract shows Nurse Practitioner for JENNIFER RANCHEZ (N.P.). Clinical services aligned with this taxonomy classification.
What city is tied to JENNIFER RANCHEZ (N.P.)?
The directory associates JENNIFER RANCHEZ (N.P.) with Los Angeles, California. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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