JILLAINE SMASAL-KWAK
NPI 1215113998
Nurse Practitioner - Family in Santee, CA
About Jillaine Smasal-kwak NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JILLAINE SMASAL-KWAK (NPI 1215113998) is an individual family provider in Santee, California, licensed in California (9357) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS.
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 (PECOS)
Jillaine Smasal-kwak is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jillaine Smasal-kwak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
El Cajon, CA 92020
- Reassigned Medicare billing, California enrollment
- 212 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 92071 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SANTEE, CA 92071
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 Jillaine Smasal-kwak's NPI number?
The NPI number for Jillaine Smasal-kwak is 1215113998. It was assigned to this individual provider in the NPPES registry on January 13, 2008.
Where is Jillaine Smasal-kwak located?
Jillaine Smasal-kwak practices at 451 Riverview Pkwy, Santee, CA 92071. The listed phone number is (619) 494-1443.
What is Jillaine Smasal-kwak's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jillaine Smasal-kwak enrolled in Medicare?
Yes. Jillaine Smasal-kwak is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jillaine Smasal-kwak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jillaine Smasal-kwak reassigns Medicare benefits to Minuteclinic Diagnostic Medical Group Of San Diego Inc (El Cajon, 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 Jillaine Smasal-kwak'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 Jillaine Smasal-kwak was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Jillaine Smasal-Kwak · NPI 1215113998
Family physician in Santee, California. Individual provider, active in the CMS NPPES registry since January 13, 2008.
## Identity
- **NPI:** 1215113998 (Entity type: Individual)
- **Enumerated:** January 13, 2008
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 9357 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 451 RIVERVIEW PKWY, Santee, CA 92071-5829
- **Phone:** (619) 494-1443
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Minuteclinic Diagnostic Medical Group Of San Diego Inc (NPI 1568659233, El Cajon, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1215113998) · Data from the CMS NPPES public registry.