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JACQUELYN ISLAND M.D.
NPI 1194849489
Preventive Medicine - Occupational Medicine in Phoenix, AZ

Active since March 19, 2007PECOS EnrolledAccepts Medicare Assignment
12808 N BLACK CANYON HWY, PHOENIX, AZ 85029(615) 778-4066 Get Directions Write a Review

NPPES record last updated: February 17, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jacquelyn Island M.d. NPPES

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

JACQUELYN ISLAND M.D. (NPI 1194849489) is an individual occupational medicine provider in Phoenix, Arizona, licensed in Arizona (28020) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1987).

NPPES Registry Identity

NPI1194849489
Entity TypeIndividualFemale
Primary Taxonomy2083X0100X
Provider Legal NameJACQUELYN ISLANDCredential: M.D.
Location Address12808 N BLACK CANYON HWYPhoenix, AZ 85029-1346
Mailing Address5080 Spectrum Dr, Suite 1200 West TowerAddison, TX 75001-4648 · (800) 232-3550
Phone(615) 778-4066
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1987
Enumeration DateMarch 19, 2007
Last NPPES UpdateFebruary 17, 2009
✔ NPI 1194849489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Occupational MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083X0100X
License✔ Licensed in AZ · 28020
Definition
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.
12808 N BLACK CANYON HWY, Phoenix, AZ 85029
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINZ126500AZ
Medicare PINZ120952AZ
Medicare PINZ126048AZ
Medicare UPINZ126501AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Insurance and more.Insurance ›

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

Jacquelyn Island M.d. 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 ID446312888
PECOS Enrollment IDI20081219000162
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 Jacquelyn Island reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

American Current Care Of Arizona PA
12 mi
Urgent Care
1818 E SKY HARBOR CIR N, BUILDING 2, SUITE 150
Phoenix, AZ 85034
  • Reassigned Medicare billing, Arizona enrollment
  • 43 clinicians in this Medicare group
NPI 1780873307 (602) 244-9500

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 85029 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

ROBERT MIGUEL DIAZ DPT
Physical Therapist
12808 N BLACK CANYON HWY
PHOENIX, AZ 85029
Maricopa County (602) 375-1155
TERRYLEE KRAEMER OTR
Occupational Therapist (Hand)
12808 N BLACK CANYON HWY
PHOENIX, AZ 85029
Maricopa County (602) 375-1155
KIM MARSEILLES O.T.
Physical Medicine & Rehabilitation
12808 N BLACK CANYON HWY
PHOENIX, AZ 85029
Maricopa County (615) 778-4066
US MEDGROUP PA
Clinic/Center (Health Service)
12808 N BLACK CANYON HWY
PHOENIX, AZ 85029
Maricopa County (602) 375-1155
RICHARD H MOORE M.D.
Preventive Medicine (Occupational Medicine)
12808 N BLACK CANYON HWY
PHOENIX, AZ 85029
Maricopa County (615) 778-4066

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 Jacquelyn Island's NPI number?

The NPI number for Jacquelyn Island is 1194849489. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Where is Jacquelyn Island located?

Jacquelyn Island practices at 12808 N Black Canyon Hwy, Phoenix, AZ 85029. The listed phone number is (615) 778-4066.

What is Jacquelyn Island's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Occupational Medicine, with taxonomy code 2083X0100X.

Is Jacquelyn Island enrolled in Medicare?

Yes. Jacquelyn Island 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 Jacquelyn Island's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Island reassigns Medicare benefits to American Current Care Of Arizona PA (Phoenix, AZ). 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 Jacquelyn Island's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacquelyn Island accept?

Health plans from Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Insurance, Oscar Health Maintenance Organization of Florida and Oscar Health Plan of North Carolina, Inc and 3 other insurers list Jacquelyn Island as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacquelyn Island was last updated on February 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.