JEANINE A ISHAK (N.P.) – Nurse Practitioner, NPI 1962456475

JEANINE A ISHAK (N.P.) is a healthcare provider. based in Oxnard, California. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. 12576 (CA). The NPI Number for JEANINE A ISHAK (N.P.) is 1962456475

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
JEANINE A ISHAK (N.P.)
NPI
1962456475
Phone
(805) 983-0343
Address
2811 N VENTURA RD
Enumeration Date
20 May 2006
Last Update Date
3 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8059830343
Graduation Year
2001 (25 years ago)
PAC ID
3870633282
Group Practice PAC ID
1850365016
Professional Enrollment ID
I20091216000164
Address ID
CA930362213OX2811XRDXX400
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

16,360 NURSE PRACTITIONER in CA

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Provider Addresses for JEANINE A ISHAK (N.P.)

  • 2811 N VENTURA RD

    OXNARD, CA 930362213

    Phone: (805) 983-0343

    Fax: (805) 983-3285

    Type: Mailing

  • Agoura Road, Westlake Village, Los Angeles County, California, 91301, United States

    STE 106

    WESTLAKE VILLAGE, CA 913614040

    Phone: (805) 379-3376

    Fax: (805) 379-3267

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $341.

Total Amount is formed as General ($341) + Research ($0) + Ownership ($0) = $341.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: ABBVIE INC. ($102).

Total Amount

$341

General + Research + Ownership

Payments

14

Total payment records

General Amount

$341

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

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: 2009-12-16

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
I20091216000164INurse 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths1,616211$0
99213Established patient office or other outpatient visit, 20-29 minutes512268$0
17000Destruction of precancer skin growth, 1 growth371243$0
11102Biopsy of related skin growth, first growth232171$0
17110Destruction of skin growth, 1-14 growths178132$0
View full utilization report →

Insurance plans in this area (ZIP 93036)

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Provider's Procedures

JEANINE A ISHAK (N.P.) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERCA11101Biopsy of each additional growth of skin and/or tissue8944
NURSE PRACTITIONERCA17003Destruction of 2-14 skin growths1665140

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: 1850365016View full group profile
NameSpecialtyState
D E R M A T O L O G YCA
D E R M A T O L O G YCA
-CA
D E R M A T O L O G YCA

Reviews

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Frequently asked questions

What is JEANINE A ISHAK (N.P.)'s NPI number?
JEANINE A ISHAK (N.P.)'s NPI is 1962456475 — the number used across U.S. healthcare to identify this provider.
Is JEANINE A ISHAK (N.P.) shown as active in public data?
Registry records indicate JEANINE A ISHAK (N.P.) maintains an active NPI.
What area of care is associated with JEANINE A ISHAK (N.P.)?
JEANINE A ISHAK (N.P.)'s record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JEANINE A ISHAK (N.P.) located near Oxnard?
JEANINE A ISHAK (N.P.) currently maps to Oxnard, California in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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