NPPES file of Aug 9, 2026

Jordan Tanner, 95091873 RN

Psychiatric/Mental Health Nurse Practitioner · Sutter Creek, CA

Jordan Tanner, 95091873 RN is a psychiatric/mental health nurse practitioner with a practice address in Sutter Creek, California, and NPI 1265255475, issued on Nov 5, 2024. Check the license (California 95036141, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1265255475
Name
Jordan Tanner
Credential
95091873 RN
Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License number
95036141 CA
Self-reported in NPPES; status is on the state search
Practice location
10877 Conductor Blvd, Sutter Creek, CA 95685
Phone
(209) 223-6412
Enumerated
Nov 5, 2024
Record last updated
Aug 4, 2026
Fax
(209) 223-0920
Medicare enrollment
Enrolled (PECOS I20260305001776); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 10877 Conductor Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Stephanie Alcantar, CMACase Manager/Care Coordinator1073232237
  2. Candace Azpeitia, ACSWClinical Social Worker1417500737
  3. Spring BeemanLicensed Vocational Nurse1467857318
  4. Randall BlankPeer Specialist1356884845
  5. Linda CrabtreeCase Manager/Care Coordinator1336627454
  6. Bella EyngorinaMarriage & Family Therapist1285030585

Verify Jordan Tanner in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich California board licenses this profession
    Search for license 95036141
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the California license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. County OF AmadorSutter Creek, CA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Jordan Tanner among 4,226 psychiatric/mental health nurse practitioner records in California

Jordan Tanner, 95091873 RN is one of 4,226 psychiatric/mental health nurse practitioner records with a practice address in California. 62% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 72% of them.

  • NPI issued2024 · 72% of these records are older, 18% newer
  • In a Medicare fileYes · 62% of these records are
  • In the CMS Doctors and Clinicians fileYes · 46% of these records are
  • Graduated2025 · median 2021 among the 1,965 with a school on file
  • Record last updated2026 · 16% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LP0808X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

1 psychiatric/mental health nurse practitioner record lists a practice address in Sutter Creek

They are 1 of the 103 NPPES records with a practice address in Sutter Creek, and 4,226 psychiatric/mental health nurse practitioner records in California.

The 8 psychiatric/mental health nurse practitioner records with the nearest ZIP codes

  1. Omotayo Alamutu, DNP, FNP, PMHNPVacaville, CA 956871689978652
  2. Stella Eliboh, DNP, FNP, PMHNPVacaville, CA 956871548121122
  3. Zlatoslava KargaVacaville, CA 956871174096101
  4. Alexia Lowi-TengVacaville, CA 956871124882675
  5. Adenike Ogunleye, NPFairfield, CA 956871740813062
  6. Macdana SeleconVacaville, CA 956871205500170
  7. Sabah Choudry, PMHNP, MSN, RNVacaville, CA 956881487379434
  8. Janice Ivie, NPVacaville, CA 956881184058737

Common questions

What is Jordan Tanner, 95091873 RN's NPI number?

Jordan Tanner, 95091873 RN's National Provider Identifier (NPI) is 1265255475, issued on Nov 5, 2024. An NPI identifies a provider in billing; it is not a license.

Where is Jordan Tanner, 95091873 RN located?

The NPPES record lists a practice address at 10877 Conductor Blvd, Sutter Creek, CA, 95685. Phone: (209) 223-6412. Providers update this record themselves, so call before visiting.

How can I verify Jordan Tanner, 95091873 RN's license?

NPPES lists California license number 95036141, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.