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MISS JACQUELINE MONIQUE DIAZ FNP
NPI 1104756691
Nurse Practitioner - Family in Temecula, CA

Active since May 19, 2026PECOS Enrolled
27450 YNEZ RD STE 128, TEMECULA, CA 92591(951) 331-4020 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Miss Jacqueline Monique Diaz Fnp NPPES

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

MISS JACQUELINE MONIQUE DIAZ FNP (NPI 1104756691) is an individual family provider in Temecula, California, licensed in California (95039624) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1104756691
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS JACQUELINE MONIQUE DIAZCredential: FNP
Location Address27450 YNEZ RD STE 128Temecula, CA 92591-4680
Mailing Address27450 Ynez Rd Ste 128Temecula, CA 92591-4680 · (951) 331-4020
Phone(951) 331-4020
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateMay 19, 2026
NPPES CertifiedMay 19, 2026
✔ NPI 1104756691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95039624
27450 YNEZ RD STE 128, Temecula, CA 92591
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Jacqueline Monique Diaz Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870053184
PECOS Enrollment IDI20260907000216
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 Diaz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Abundant Health Medical Inc
Same address
Family Medicine
27450 YNEZ RD STE 128
Temecula, CA 92591
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1669291316 (951) 383-4333

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 92591 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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

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

ABUNDANT HEALTH MEDICAL INC
Family Medicine
27450 YNEZ RD STE 128
TEMECULA, CA 92591
Riverside County (951) 383-4333

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 Diaz's NPI number?

The NPI number for Jacqueline Diaz is 1104756691. It was assigned to this individual provider in the NPPES registry on May 19, 2026.

Where is Jacqueline Diaz located?

Jacqueline Diaz practices at 27450 Ynez Rd Ste 128, Temecula, CA 92591. The listed phone number is (951) 331-4020.

What is Jacqueline Diaz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jacqueline Diaz enrolled in Medicare?

Yes. Jacqueline Diaz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacqueline Diaz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Diaz reassigns Medicare benefits to Abundant Health Medical Inc (Temecula, 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 Diaz'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 Diaz was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.