Mrs Jennifer Rachael Surgener, FNP - Medicare Nurse Practitioner in Tustin, CA

  1. Home
  2. Nurse Practitioner
  3. CA
  4. Tustin
Mrs Jennifer Rachael Surgener, FNP is a medicare enrolled "Nurse Practitioner - Family" in Tustin, California. Her current practice location is 14642 Newport Ave, Suite #200, Tustin, California. You can reach out to her office (for appointments etc.) via phone at (714) 669-4466.

Mrs Jennifer Rachael Surgener is licensed to practice in California (license number 15194) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1801051826.

Contact Information

Mrs Jennifer Rachael Surgener, FNP
14642 Newport Ave, Suite #200,
Tustin, CA 92780-6057
(714) 669-4466
(714) 669-4088

Map and Direction




Provider's Profile

Full NameMrs Jennifer Rachael Surgener
GenderFemale
SpecialityNurse Practitioner - Family
Location14642 Newport Ave, Tustin, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1801051826
  • Provider Enumeration Date: 07/21/2008
  • Last Update Date: 07/21/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 7315222809
  • Enrollment ID: I20170324000488

Medical Identifiers

Medical identifiers for Mrs Jennifer Rachael Surgener such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801051826NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 15194 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Jennifer Rachael Surgener allows following entities to bill medicare on her behalf.
Entity NameProvidence Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jennifer Rachael Surgener is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Jennifer Rachael Surgener, FNP
14642 Newport Ave, Suite #200,
Tustin, CA 92780-6057

Ph: (714) 669-4466		Mrs Jennifer Rachael Surgener, FNP
14642 Newport Ave, Suite #200,
Tustin, CA 92780-6057

Ph: (714) 669-4466

Reviews and Comments


Nurse Practitioner Nurses in Tustin, CA

Mr. Michael Sean Kelly, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 17601 17th St Ste 120, Tustin, CA 92780
Phone: 714-769-6090    
Mrs. Nicole Ninofranco Alcantara, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 14642 Newport Avenue Suite 200, Tustin, CA 92780
Phone: 714-669-4466    
Nicole Rolle Noche, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 661 W 1st St Ste G, Tustin, CA 92780
Phone: 714-665-9890    
Sandra Garcia,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 14642 Newport Ave Ste 101, Tustin, CA 92780
Phone: 714-352-5800    
Aishah Mandeel, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 14971 Holt Ave, Tustin, CA 92780
Phone: 949-356-7676    
Jonathan Ramonty Chhean, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1 Hope Dr, Tustin, CA 92782
Phone: 714-247-0300    Fax: 714-259-1598
Amanda Joy Hall, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1451 Irvine Blvd, Tustin, CA 92780
Phone: 714-838-8878    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.