Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jenifer J Tantarelli, FNP

Individual provider Family Health Clinical Nurse Specialist · NPI 1972767739

Jenifer J Tantarelli, FNP is a Nurse Practitioner in Santa Rosa, California. Qualified in 2007, 19 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
19
Licensed in
CA
In the registry since
2008
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

1154 Montgomery Dr
Santa Rosa, CA 95405-4816
Phone: (707) 547-4611
Fax: (707) 522-1202
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Health Clinical Nurse Specialist (primary) Taxonomy 364SF0001X · Licence NP 17620 (CA)

Record details

NPI number1972767739
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 10, 2008
Last updated in NPPESJune 18, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare