JACQUELINE CLUBINE CNM
NPI 1053812362
Advanced Practice Midwife in Port Angeles, WA

Q: What is Jacqueline Clubine's NPI number?

The NPI number for Jacqueline Clubine is 1053812362. It was assigned to this individual provider in the NPPES registry on February 22, 2018.

Q: What is Jacqueline Clubine's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Active since February 22, 2018PECOS Enrolled

433 E 8TH ST, PORT ANGELES, WA 98362(360) 565-0999 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2024, Feb 22, 2018 (2 updates tracked since 2018).

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About Jacqueline Clubine Cnm NPPES

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

JACQUELINE CLUBINE CNM (NPI 1053812362) is an individual advanced practice midwife in Port Angeles, Washington, licensed in Washington (AP61546588) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053812362

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameJACQUELINE CLUBINECredential: CNM

Location Address433 E 8TH STPort Angeles, WA 98362-6219

Mailing AddressPo Box 850Port Angeles, WA 98362-0146 · (360) 565-0999

Phone(360) 565-0999

Sole ProprietorNo

Enumeration DateFebruary 22, 2018

Last NPPES UpdateJune 5, 20242 updates tracked since enumeration

NPPES CertifiedJune 5, 2024

✔ NPI 1053812362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

Licenses✔ Licensed in WA · AP61546588✔ Licensed in GA · RN261851

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License AP61546589 (WA)

433 E 8TH ST, Port Angeles, WA 98362

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Clubine Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98362 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

Most-billed visit code 99213

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.

JINLIN BRENDEL

Family Medicine