JACLYN PEREIRA FNP-BC, APRN
NPI 1144095977
Nurse Practitioner - Family in Palm Beach Gardens, FL
About Jaclyn Pereira Fnp-bc, Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACLYN PEREIRA FNP-BC, APRN (NPI 1144095977) is an individual family provider in Palm Beach Gardens, Florida, licensed in California (95028125) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
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
Jaclyn Pereira Fnp-bc, Aprn 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.
Medicare Billing Reassignment
Medicare enrollment records show Jaclyn Pereira reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tuolumne, CA 95379
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Tuolumne Me-Wuk Indian Health Center Inc
- 46 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 33410 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Jaclyn Pereira's NPI number?
The NPI number for Jaclyn Pereira is 1144095977. It was assigned to this individual provider in the NPPES registry on November 21, 2023.
Where is Jaclyn Pereira located?
Jaclyn Pereira practices at 2701 Ravella Way, Palm Beach Gardens, FL 33410. The listed phone number is (561) 420-5097.
What is Jaclyn Pereira's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jaclyn Pereira enrolled in Medicare?
Yes. Jaclyn Pereira 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 Jaclyn Pereira's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Pereira reassigns Medicare benefits to Tuolumne Mewuk Indian Health Center, Inc (Tuolumne, 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 Jaclyn Pereira'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 Jaclyn Pereira was last updated on November 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Jaclyn Pereira, FNP-BC, APRN · NPI 1144095977
Family physician in Palm Beach Gardens, Florida. Individual provider, active in the CMS NPPES registry since November 21, 2023.
## Identity
- **NPI:** 1144095977 (Entity type: Individual)
- **Enumerated:** November 21, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95028125 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2701 RAVELLA WAY, Palm Beach Gardens, FL 33410-2966
- **Phone:** (561) 420-5097
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Tuolumne Mewuk Indian Health Center, Inc (NPI 1619952397, Tuolumne, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** November 21, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1144095977) · Data from the CMS NPPES public registry.