JENNIFER ANN WHITE (PA-C) – Physician Assistant, NPI 1477787604

JENNIFER ANN WHITE (PA-C) is a healthcare provider. based in Rancho cordova, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 20156 (CA). The NPI Number for JENNIFER ANN WHITE (PA-C) is 1477787604

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER ANN WHITE (PA-C)
NPI
1477787604
Phone
Not provided
Address
3400 DATA DR
Enumeration Date
1 May 2009
Last Update Date
8 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4159658050
Graduation Year
2008 (18 years ago)
PAC ID
6002942786
Group Practice PAC ID
9436239878
Professional Enrollment ID
I20190508002507
Address ID
CA941335160SA170XXAVEX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:17State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

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Provider Addresses for JENNIFER ANN WHITE (PA-C)

  • 3400 DATA DR

    RANCHO CORDOVA, CA 956707956

    Phone:

    Type: Mailing

  • 16510, Bloomfield Avenue, Cerritos, Los Angeles County, California, 90703, United States

    CERRITOS, CA 907032115

    Phone: (562) 229-0902

    Type: Location

  • 330, Orizaba Avenue, Belmont Shore, Long Beach, Los Angeles County, California, 90814, United States

    #2

    LONG BEACH, CA 908145795

    Phone: (714) 357-5020

    Type: Mailing

  • 199 W PORTAL AVE

    SAN FRANCISCO, CA 941271305

    Phone: (415) 821-8798

    Fax: (415) 242-6244

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $78.

Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($48).

Total Amount

$78

General + Research + Ownership

Payments

2

Total payment records

General Amount

$78

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-05-08

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
I20190508002507IPhysician AssistantCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes9793$0
99203New patient office or other outpatient visit, 30-44 minutes7070$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen4140$0
81003Automated urinalysis test2525$0
87502Detection test by nucleic acid for multiple types influenza virus2121$0
View full utilization report →

Insurance plans in this area (ZIP 95670)

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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: 9436239878View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YCA
Family PracticeCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Physician AssistantMA
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YDC
Physician AssistantPA
Hospitalist, Family PracticeCA
Physician AssistantIA
Emergency MedicineCA

Reviews

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Frequently asked questions

Can I verify JENNIFER ANN WHITE (PA-C) with an NPI only?
You can start verification with NPI 1477787604 for JENNIFER ANN WHITE (PA-C), then check state licensing separately.
Does the file indicate JENNIFER ANN WHITE (PA-C) is practicing under active NPI?
Directory data currently reports JENNIFER ANN WHITE (PA-C) as active.
What is JENNIFER ANN WHITE (PA-C)'s primary classification?
Physician Assistant is the headline specialty for JENNIFER ANN WHITE (PA-C) here. Clinical services aligned with this taxonomy classification.
Does JENNIFER ANN WHITE (PA-C) list a practice location?
Patients near Rancho Cordova, California may find JENNIFER ANN WHITE (PA-C) in results; validate coverage separately.
Why does JENNIFER ANN WHITE (PA-C) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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