JACQUELINE MARIE FERDOWSALI A.G.A.C.N.P
NPI 1215278759
Nurse Practitioner in Vancouver, WA
About Jacqueline Marie Ferdowsali A.g.a.c.n.p NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE MARIE FERDOWSALI A.G.A.C.N.P (NPI 1215278759) is an individual nurse practitioner in Vancouver, Washington, licensed in Washington (AP60879539) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, is affiliated with Peacehealth Southwest Medical Center, and maintains a secondary practice location in Carson City.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted 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
Jacqueline Marie Ferdowsali A.g.a.c.n.p 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 Reassignments
5Medicare enrollment records show Jacqueline Ferdowsali reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Vancouver, WA 98664
- Reassigned Medicare billing, Washington enrollment
- 307 clinicians in this Medicare group
Portland, OR 97220
- Reassigned Medicare billing, Oregon enrollment
- 48 clinicians in this Medicare group
Carson City, NV 89703
- Reassigned Medicare billing, Nevada enrollment
- 55 clinicians in this Medicare group
Idaho Falls, ID 83404
- Reassigned Medicare billing, Montana and Utah enrollments
- Also billed through NPI 1962821223 (Utah)
- 3 clinicians in this Medicare group
Lanham, MD 20706
- Reassigned Medicare billing, Oregon and Washington enrollments
- 43 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Peacehealth Southwest Medical Center
Acute Care Hospitals · Vancouver, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98664 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VANCOUVER, WA 98664
VANCOUVER, WA 98664
VANCOUVER, WA 98664
VANCOUVER, WA 98664
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 Ferdowsali's NPI number?
The NPI number for Jacqueline Ferdowsali is 1215278759. It was assigned to this individual provider in the NPPES registry on March 7, 2013.
Where is Jacqueline Ferdowsali located?
Jacqueline Ferdowsali practices at 200 NE Mother Joseph Pl Ste 330, Vancouver, WA 98664. The listed phone number is (360) 514-2990.
What is Jacqueline Ferdowsali's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Jacqueline Ferdowsali enrolled in Medicare?
Yes. Jacqueline Ferdowsali 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 organizations bill Medicare for Jacqueline Ferdowsali's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Ferdowsali reassigns Medicare benefits to 5 organizations: Peacehealth (Vancouver, WA), Altea Medical Oregon LLC (Portland, OR), Usacs Integrated Acute Care Services Of Nevada Bagnoli P C (Carson City, NV), Utah Regional Hospitalists LLC (Idaho Falls, ID) and Post Acute Medical PLLC (Lanham, MD). Each 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 Ferdowsali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacqueline Ferdowsali accept?
Health plans from Ambetter Health, BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Jacqueline Ferdowsali 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.
Is Jacqueline Ferdowsali affiliated with any hospitals?
According to CMS data, Jacqueline Ferdowsali is affiliated with Peacehealth Southwest Medical Center.
When was this NPI record last updated?
The NPPES record for Jacqueline Ferdowsali was last updated on April 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Jacqueline Marie Ferdowsali, A.G.A.C.N.P · NPI 1215278759
Nurse Practitioner physician in Vancouver, Washington. Individual provider, active in the CMS NPPES registry since March 7, 2013.
## Identity
- **NPI:** 1215278759 (Entity type: Individual)
- **Enumerated:** March 7, 2013
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** AP60879539 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 NE MOTHER JOSEPH PL STE 330, Vancouver, WA 98664-3288
- **Phone:** (360) 514-2990
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Peacehealth (NPI 1609061969, Vancouver, WA); Altea Medical Oregon LLC (NPI 1184451254, Portland, OR); Usacs Integrated Acute Care Services Of Nevada Bagnoli P C (NPI 1063608701, Carson City, NV); Utah Regional Hospitalists LLC (NPI 1740715507, Idaho Falls, ID); Post Acute Medical PLLC (NPI 1730713025, Lanham, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** April 7, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1215278759) · Data from the CMS NPPES public registry.