DR. JACQUELINE ELIZABETH SUMMERS STROMBERG MD
NPI 1043772734
Psychiatry & Neurology - Neurology in San Francisco, CA

Active since April 02, 2019PECOS EnrolledAccepts Medicare Assignment
1100 VAN NESS AVE, SAN FRANCISCO, CA 94109(415) 600-7880 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 11, 2019, Apr 2, 2019 (2 updates tracked since 2019).

About Dr. Jacqueline Elizabeth Summers Stromberg Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACQUELINE ELIZABETH SUMMERS STROMBERG MD (NPI 1043772734) is an individual neurology provider in San Francisco, California, licensed in California (A180448) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (2019).

NPPES Registry Identity

NPI1043772734
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. JACQUELINE ELIZABETH SUMMERS STROMBERGCredential: MD
Location Address1100 VAN NESS AVESan Francisco, CA 94109-6978
Mailing AddressPo Box 276950Sacramento, CA 95827-6950 · (415) 600-7880
Sole ProprietorYes
Medical School CMSGeorgetown University School Of MedicineGraduated 2019
Enumeration DateApril 2, 2019
Last NPPES UpdateApril 29, 20252 updates tracked since enumeration
NPPES CertifiedApril 29, 2025
✔ NPI 1043772734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in CA · A180448
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1100 VAN NESS AVE, San Francisco, CA 94109

Other Names 1

Former Name (1)Jacqueline Elizabeth Summers

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jacqueline Elizabeth Summers Stromberg Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698289304
PECOS Enrollment IDI20250707000860
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline Summers Stromberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
12 CAMINO ENCINAS
Orinda, CA 94563
  • Reassigned Medicare billing, California enrollment
  • 4,479 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
Registered Nurse (Critical Care Medicine)
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
Obstetrics & Gynecology
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
Neurological Surgery
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
Radiology (Vascular & Interventional Radiology)
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
Physical Medicine & Rehabilitation
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
Nurse Practitioner (Family)
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Summers Stromberg's NPI number?

The NPI number for Jacqueline Summers Stromberg is 1043772734. It was assigned to this individual provider in the NPPES registry on April 2, 2019. The provider is also known as Jacqueline Elizabeth Summers.

Where is Jacqueline Summers Stromberg located?

Jacqueline Summers Stromberg practices at 1100 Van Ness Ave, San Francisco, CA 94109. The listed phone number is (415) 600-7880.

What is Jacqueline Summers Stromberg's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Jacqueline Summers Stromberg enrolled in Medicare?

Yes. Jacqueline Summers Stromberg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jacqueline Summers Stromberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Summers Stromberg reassigns Medicare benefits to Sutter Bay Medical Foundation (Orinda, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Summers Stromberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacqueline Summers Stromberg was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.