JEANINE L ISENHOFF (ANP-BC) – Adult Health Nurse Practitioner, NPI 1154612331

JEANINE L ISENHOFF (ANP-BC) is a healthcare provider. based in Roseville, California. specializing in NURSE PRACTITIONER. They hold the professional credentials ANP-BC. They hold a License No. 2011004780 (MO). The NPI Number for JEANINE L ISENHOFF (ANP-BC) is 1154612331

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
JEANINE L ISENHOFF (ANP-BC)
NPI
1154612331
Phone
(916) 241-9844
Address
3001 DOUGLAS BLVD STE 325
Enumeration Date
22 April 2011
Last Update Date
11 October 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5032725739
Graduation Year
2009 (17 years ago)
PAC ID
3476707993
Group Practice PAC ID
6507943289
Professional Enrollment ID
I20130211000387
Address ID
CA959458530GR11270HWYX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:15State licenses:2Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for JEANINE L ISENHOFF (ANP-BC)

  • 3001 DOUGLAS BLVD STE 325

    ROSEVILLE, CA 956614289

    Phone: (916) 241-9844

    Type: Mailing

  • 2220 Gladstone Dr

    Suite 3

    Pittsburg, CA 945655123

    Phone: (925) 432-3318

    Fax: (925) 432-4590

    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: 2013-02-11

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
I20130211000387INurse 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 95661)

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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: 6507943289View full group profile

Reviews

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Frequently asked questions

What is the registry number for JEANINE L ISENHOFF (ANP-BC)?
The registry entry for JEANINE L ISENHOFF (ANP-BC) shows NPI 1154612331.
Is JEANINE L ISENHOFF (ANP-BC) currently accepting referrals based on NPI status?
Registry metadata lists JEANINE L ISENHOFF (ANP-BC) as active.
What type of care does JEANINE L ISENHOFF (ANP-BC) provide?
JEANINE L ISENHOFF (ANP-BC)'s profile centers on Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JEANINE L ISENHOFF (ANP-BC)?
JEANINE L ISENHOFF (ANP-BC) is associated with Roseville, California in the same public data insurers reference.
Can I export JEANINE L ISENHOFF (ANP-BC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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