DR. ELSE MARIE JENSEN M.D.
NPI 1790754885
Internal Medicine in Berkeley, CA

NPI Status: Active since March 14, 2006

Contact Information

1510 4TH ST
SUITE 1
BERKELEY, CA
ZIP 94710
Phone: (510) 525-8980
Fax: (510) 525-8982

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  • Individual
  • Female
  • Years of Experience 38
  • Internal Medicine
  • Accepts Medicare Approved Payment
  • PECOS Enrolled
  • Medicare Quality Reporting

About ELSE JENSEN

This page provides the complete NPI Profile along with additional information for Else Jensen, an internist established in Berkeley, California with a medical specialization in Internal Medicine and more than 38 years of experience. She graduated from University Of California, San Francisco School Of Medicine in 1988. The healthcare provider is registered in the NPI registry with number 1790754885 assigned on March 2006. The practitioner's primary taxonomy code is 207R00000X with license number G68533 (CA). The provider is registered as an individual and her NPI record was last updated 17 years ago.

NPI
1790754885
Provider Name
DR. ELSE MARIE JENSEN M.D.
Gender
Female
Entity Type
Individual
Location Address
1510 4TH ST SUITE 1 BERKELEY, CA 94710
Location Phone
(510) 525-8980
Location Fax
(510) 525-8982
Mailing Address
2959 APPLEWOOD CT NAPA, CA 94558
Mailing Phone
(707) 258-1774
Medical School Name
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduation Year
1988
Is Sole Proprietor?
No
Enumeration Date
03-14-2006
Last Update Date
07-09-2008
Code Navigator

An internist like Else Jensen is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
G68533
License State
CA
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00G685331MEDICARE ID-TYPE UNSPECIFIED (04)CA 
P00022828MEDICARE PIN (08)CA 
00G685330MEDICAID (05)CA 
F16269MEDICARE UPIN (02) 
00AG685332MEDICARE PIN (08)CA 

Medicare Participation & PECOS Enrollment Status

Else Jensen is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Else Jensen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4981787223

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20080211000387

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE017N)

    Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)

    4 DME suppliers used 11 Medicare Claims 30 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

This service was performed 21 times for 21 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

This service was performed 72 times for 20 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 16 times for 15 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 425 times for 198 patients

Established patient office or other outpatient visit, 40-54 minutes

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

This service was performed 16 times for 14 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 16 times for 16 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 30 times for 30 patients

Telephone medical discussion with physician, 21-30 minutes

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

This service was performed 63 times for 51 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $38.45 for a new patient copayment and $29.87 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 94710 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $153.83
  • Minimum New Patient Price $69
  • Maximum New Patient Price $202.35
  • Average New Patient Copayment $38.45
  • Minimum New Patient Copayment $17.25
  • Maximum New Patient Copayment $50.58

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $119.48
  • Minimum Established Patient Price $23.44
  • Maximum Established Patient Price $166.46
  • Average Established Patient Copayment $29.87
  • Minimum Established Patient Copayment $5.86
  • Maximum Established Patient Copayment $41.61

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Care Plan 89% 473
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan

Reviews for DR. ELSE MARIE JENSEN M.D.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1790754885
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271801458816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 1 + 4 + 5 + 8 + 8 + 1 + 6 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1790754885 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1104895085DR. BEHRAM R SOONAWALA M.D.
Individual
Internal Medicine1510 4TH ST SUITE 1
BERKELEY, CA 94710
(510) 525-8980
1417905126DR. HIDEYUKI SAKATA M.D.
Individual
Internal Medicine1510 4TH ST SUITE 1
BERKELEY, CA 94710
(510) 525-8980
1588612881DR. HIEP DUY NGUYEN MD
Individual
Internal Medicine1510 4TH ST SUITE 1
BERKELEY, CA 94710
(510) 525-8980
1386653657 HONG WU M.D.
Individual
Internal Medicine1510 4TH ST SUITE1
BERKELEY, CA 94710
(510) 525-8980
1346407491 ANNA LEVIN-SHOHAT D.O.
Individual
Internal Medicine1510 4TH ST SUITE 1
BERKELEY, CA 94710
(510) 525-8980
1437489994INPATIENT CONSULTANTS OF CALIFORNIA, INC
Organization
Internal Medicine1510 4TH ST SUITE 1
BERKELEY, CA 94710
(510) 525-8980
1346570801INPATIENT CONSULTANTS OF CALIFORNIA, INC
Organization
Internal Medicine1510 4TH ST SUITE 1
BERKELEY, CA 94710
(510) 525-8980
1891025359INPATIENT CONSULTANTS OF CALIFORNIA, INC
Organization
Internal Medicine1510 4TH ST SUITE 1
BERKELEY, CA 94710
(510) 525-8980
1548605587 VIRGILIO Y BALUYUT NP
Individual
Nurse Practitioner1510 4TH ST SUITE 1
BERKELEY, CA 94710
(510) 525-8980
1407880693DR. DAWN M GROTEN MD
Individual
Internal Medicine (Geriatric Medicine)1510 4TH ST SUITE 1
BERKELEY, CA 94710
(510) 525-8980
1942598289 CHRISTINA GARZA M.D.
Individual
Internal Medicine1510 4TH ST SUITE 1
BERKELEY, CA 94710
(510) 525-8980
1538547237 FIROZA RAHIMI
Individual
Nurse Practitioner (Family)1510 4TH ST SUITE 1
BERKELEY, CA 94710
(510) 525-8980
1316255094 LINDA BEULAH TRAN MD, MPH
Individual
Internal Medicine1510 4TH ST SUITE 1
BERKELEY, CA 94710
(510) 525-8980
1659503290DR. MARIA CONSUELO ROJAS D'CROZ M.D.
Individual
Internal Medicine1510 4TH ST SUITE 1
BERKELEY, CA 94710
(510) 525-8980
1457710998 NARESH KUMAR JOSHI M.D.
Individual
Hospitalist1510 4TH ST SUITE 1
BERKELEY, CA 94710
(510) 525-8980
1023031655MISS MADELINE TAM CHOW NP
Individual
Nurse Practitioner (Gerontology)1510 4TH ST SUITE 1
BERKELEY, CA 94710
(510) 525-8980
1770552721DR. RANJANA SAXENA M.D.
Individual
Internal Medicine1510 4TH ST SUITE 1
BERKELEY, CA 94710
(510) 525-8980

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790754885, enumerated in the NPI registry as an "individual" on March 14, 2006

The provider is located at 1510 4th St Suite 1 Berkeley, Ca 94710 and the phone number is (510) 525-8980

The provider's speciality is Internal Medicine with taxonomy code 207R00000X

The provider has more than 38 years of experience. She graduated from University Of California, San Francisco School Of Medicine in 1988.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $153.83 with an average copayment of $38.45 for new patient appointments. Established patients should expect a typical charge of $119.48 and an average copayment of 29.87. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, New patient office or other outpatient visit, 30-44 minutes, New patient office or other outpatient visit, 45-59 minutes and Telephone medical discussion with physician, 21-30 minutes.

This NPI record was last updated on March 14, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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