Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. JACQUELINE SANTUILE CONSTANTINO PMHNP
NPI 1124463286
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA

Q: What is Jacqueline Constantino's NPI number?

The NPI number for Jacqueline Constantino is 1124463286. It was assigned to this individual provider in the NPPES registry on May 2, 2013.

Q: What is Jacqueline Constantino's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since May 02, 2013PECOS Enrolled

4147 ADAMS AVE, SAN DIEGO, CA 92116(619) 281-1932(619) 281-1947 Get Directions Write a Review

NPPES record last updated: August 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Jacqueline Santuile Constantino Pmhnp NPPES

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

MS. JACQUELINE SANTUILE CONSTANTINO PMHNP (NPI 1124463286) is an individual psychiatric/mental health provider in San Diego, California, licensed in California (22937) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1124463286

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMS. JACQUELINE SANTUILE CONSTANTINOCredential: PMHNP

Location Address4147 ADAMS AVESan Diego, CA 92116-2509

Mailing Address1111 6th Ave Ste 550, #463664San Diego, CA 92101-5211 · (619) 333-8706

Phone(619) 281-1932

Fax(619) 281-1947

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateMay 2, 2013

Last NPPES UpdateAugust 2, 2026

NPPES CertifiedAugust 2, 2026

✔ NPI 1124463286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 22937

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 22937 (CA)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 22937 (CA)

4147 ADAMS AVE, San Diego, CA 92116

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jacqueline Santuile Constantino Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052611936

PECOS Enrollment IDI20260527003546

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 92116 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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 5

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

WENDI LEA LEGG PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)