NATISHA NICOLE JENSEN (MD) – Surgery Physician, NPI 1821072828

NATISHA NICOLE JENSEN (MD) is a healthcare provider. based in Newport beach, California. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 34527 (IA). The NPI Number for NATISHA NICOLE JENSEN (MD) is 1821072828

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
NATISHA NICOLE JENSEN (MD)
NPI
1821072828
Phone
(949) 791-6767
Address
510 SUPERIOR AVE STE 200G
Enumeration Date
2 December 2005
Last Update Date
21 July 2020

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
9497644060
Graduation Year
2000 (26 years ago)
PAC ID
8921048067
Group Practice PAC ID
3274872064
Professional Enrollment ID
I20200701000373
Address ID
CA926183780IR16105AVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,317 GENERAL SURGERY in CA

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Provider Addresses for NATISHA NICOLE JENSEN (MD)

  • 200, Superior Avenue, Newport Heights, Newport Beach, Orange County, California, 92663, United States

    NEWPORT BEACH, CA 926633664

    Phone: (949) 791-6767

    Fax: (949) 791-6768

    Mailing address matches the actual address.

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: 2020-07-01

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
I20200701000373IGeneral SurgeryCATBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes11770$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes7973$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3837$0
99213Established patient office or other outpatient visit, 20-29 minutes2318$0
47562Removal of gallbladder using an endoscope1717$0
View full utilization report →

Insurance plans in this area (ZIP 92663)

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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: 3274872064View 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
Family PracticeVA
General SurgeryCA
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 YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Family PracticeCA
Physician AssistantCA
Physician AssistantCA

Reviews

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Frequently asked questions

Does NATISHA NICOLE JENSEN (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — NATISHA NICOLE JENSEN (MD) uses 1821072828.
Does the file indicate NATISHA NICOLE JENSEN (MD) is practicing under active NPI?
Directory data currently reports NATISHA NICOLE JENSEN (MD) as active.
What is NATISHA NICOLE JENSEN (MD)'s specialty?
The listing groups NATISHA NICOLE JENSEN (MD) with Surgery Physician. Clinical services aligned with this taxonomy classification.
What address line appears for NATISHA NICOLE JENSEN (MD)?
NATISHA NICOLE JENSEN (MD)'s geographic hint is Newport Beach, California in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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