JAYNE RANEE ANTOLIN – Family Nurse Practitioner, NPI 1306351689

Family Nurse Practitioner

JAYNE RANEE ANTOLIN is a healthcare provider. based in Cathedral city, California. specializing in Family Nurse Practitioner. They hold a License No. 95053544 (CA). The NPI Number for JAYNE RANEE ANTOLIN is 1306351689

Main info

Female

9 Years Of Experience

Accepts Medicare Assignment

Name

JAYNE RANEE ANTOLIN

NPI

1306351689

Phone

(760) 321-6776

Address

69175 RAMON RD BLDG A

Enumeration Date

7 December 2017

Last Update Date

16 April 2021

Doctor Profile

Medical School Name

OTHER

Secondary Phone

7603216776

Graduation Year

2017 (9 years ago)

PAC ID

0547523581

Group Practice PAC ID

1759299944

Professional Enrollment ID

I20180404002011

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience49

Completeness75

Years active:8State licenses:2Digital endpointsOther names

Provider Addresses for JAYNE RANEE ANTOLIN

69175 RAMON RD BLDG A
CATHEDRAL CITY, CA 922343344
Phone: (760) 321-6776
Type: Location
36289, Cherrywood Drive, Yucaipa, San Bernardino County, California, 92399, United States
YUCAIPA, CA 923995730
Phone:
Type: Mailing

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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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 92234)

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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: 1759299944View full group profile

Name	Specialty	State
MR. JAMES M HUOT (M.D.)	-	CA
MR. MATTHEW GAIRE KEANE (PHYSICIAN ASSISTANT)	-	CA
RHETT PAPA (D.O.)	-	CA
ROBERT FONTANILLA (PA-C)	-	CA
DR. SCOTT ANDREW ALLEN (M.D.)	-	CA
DR. MARYAM POURSARTIP (M.D.)	-	CA
SERGIO H BARAJAS (PHYSICIAN ASSISTANT)	-	CA
DR. JOSEPH AARON SCHWARTZ (M D)	-	CA
MR. CONRADO MARTINEZ (PA-C)	-	CA
NAOMIE DE LA CRUZ NOVELO (PA-C)	-	CA