JACKLYN NGUYEN MD
NPI 1225722937
Student in an Organized Health Care Education/Training Program in French Camp, CA

Active since June 06, 2023PECOS EnrolledAccepts Medicare Assignment
500 W HOSPITAL RD, FRENCH CAMP, CA 95231(209) 468-6032 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jacklyn Nguyen Md NPPES

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

JACKLYN NGUYEN MD (NPI 1225722937) is an individual student in an organized health care education/training program in French Camp, California and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1225722937
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJACKLYN NGUYENCredential: MD
Location Address500 W HOSPITAL RDFrench Camp, CA 95231-9693
Mailing Address500 W Hospital RdFrench Camp, CA 95231-9693 · (209) 468-6032
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 6, 2023
NPPES CertifiedJune 6, 2023
✔ NPI 1225722937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
500 W HOSPITAL RD, French Camp, CA 95231

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

Jacklyn Nguyen Md 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 ID4587121249
PECOS Enrollment IDI20260812003451
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 Jacklyn Nguyen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
5651 COPLEY DR STE A
San Diego, CA 92111
  • Reassigned Medicare billing, California enrollment
  • 1,233 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.

Other Providers at the Same Location NPPES 20

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

Counselor (Addiction (Substance Use Disorder))
500 W HOSPITAL RD
FRENCH CAMP, CA 95231
Student in an Organized Health Care Education/Training Program
500 W HOSPITAL RD
FRENCH CAMP, CA 95231
Counselor (Addiction (Substance Use Disorder))
500 W HOSPITAL RD
FRENCHCAMP, CA 95231
Obstetrics & Gynecology
500 W HOSPITAL RD
FRENCH CAMP, CA 95231
Family Medicine (Sports Medicine)
500 W HOSPITAL RD
FRENCH CAMP, CA 95231
Counselor (Addiction (Substance Use Disorder))
500 W HOSPITAL RD
FRENCH CAMP, CA 95231
Student in an Organized Health Care Education/Training Program
500 W HOSPITAL RD
FRENCH CAMP, CA 95231
Surgery
500 W HOSPITAL RD
FRENCH CAMP, CA 95231

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 Jacklyn Nguyen's NPI number?

The NPI number for Jacklyn Nguyen is 1225722937. It was assigned to this individual provider in the NPPES registry on June 6, 2023.

Where is Jacklyn Nguyen located?

Jacklyn Nguyen practices at 500 W Hospital Rd, French Camp, CA 95231. The listed phone number is (209) 468-6032.

What is Jacklyn Nguyen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jacklyn Nguyen enrolled in Medicare?

Yes. Jacklyn Nguyen 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 Jacklyn Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacklyn Nguyen reassigns Medicare benefits to Sharp Rees-Stealy Medical Group, Inc (San Diego, 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 Jacklyn Nguyen'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 Jacklyn Nguyen was last updated on June 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.