JACQUELINE MARIE FERDOWSALI A.G.A.C.N.P
NPI 1215278759
Nurse Practitioner in Vancouver, WA

Q: 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.

Q: What is Jacqueline Ferdowsali's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since March 07, 2013PECOS EnrolledAccepts Medicare Assignment

200 NE MOTHER JOSEPH PL STE 330, VANCOUVER, WA 98664(360) 514-2990 Get Directions Write a Review

NPPES record last updated: April 7, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 7, 2020, Jun 11, 2019, Jun 4, 2019 (3 updates tracked since 2019).

On this page

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 is a graduate of Other (2013).

NPPES Registry Identity

NPI1215278759

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJACQUELINE MARIE FERDOWSALICredential: A.G.A.C.N.P

Location Address200 NE MOTHER JOSEPH PL STE 330Vancouver, WA 98664-3288

Mailing AddressPo Box 4390Carson City, NV 89702-4390 · (775) 445-7650 · Fax (775) 882-4206

Phone(360) 514-2990

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateMarch 7, 2013

Last NPPES UpdateApril 7, 20203 updates tracked since enumeration

NPPES CertifiedApril 7, 2020

✔ NPI 1215278759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WA · AP60879539

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 11330828-4405 (UT), APN001499 (NV)

200 NE MOTHER JOSEPH PL STE 330, Vancouver, WA 98664

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID7810135282

PECOS Enrollment IDI20190724002428

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.

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, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500050

Location400 NE Mother Joseph PlaceVancouver, WA 98668 · Clark County

Emergency services Birthing friendly

Physician 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.

New Patient

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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 13

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

SHOBHIT GUPTA DO

Internal Medicine