JESSA MARIE VANKLEECK OD
NPI 1255991840
Optometrist in Newport Beach, CA
About Jessa Marie Vankleeck Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSA MARIE VANKLEECK OD (NPI 1255991840) is an individual optometrist in Newport Beach, California, licensed in California (OPT34433TLG) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (2019).
NPPES Registry Identity
Specialties & Licenses
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
Jessa Marie Vankleeck Od 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
2Medicare enrollment records show Jessa Vankleeck reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newport Beach, CA 92663
- Reassigned Medicare billing, California enrollment
- 2 clinicians in this Medicare group
Vancouver, WA 98661
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Bristol Bay Area Health Corporation
- 360 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92663 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jessa Vankleeck's NPI number?
The NPI number for Jessa Vankleeck is 1255991840. It was assigned to this individual provider in the NPPES registry on June 17, 2019.
Where is Jessa Vankleeck located?
Jessa Vankleeck practices at 522 Old Newport Blvd, Newport Beach, CA 92663. The listed phone number is (949) 650-9060.
What is Jessa Vankleeck's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Jessa Vankleeck enrolled in Medicare?
Yes. Jessa Vankleeck 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 Jessa Vankleeck's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessa Vankleeck reassigns Medicare benefits to 2 organizations: Old Newport Optometric Associates (Newport Beach, CA) and Cowlitz Indian Tribe (Vancouver, WA). 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 Jessa Vankleeck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jessa Vankleeck accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Jessa Vankleeck 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 Jessa Vankleeck was last updated on March 19, 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.
# Jessa Marie Vankleeck, OD · NPI 1255991840
Optometrist provider in Newport Beach, California. Individual provider, active in the CMS NPPES registry since June 17, 2019.
## Identity
- **NPI:** 1255991840 (Entity type: Individual)
- **Enumerated:** June 17, 2019
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OPT34433TLG (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 522 OLD NEWPORT BLVD, Newport Beach, CA 92663-4212
- **Phone:** (949) 650-9060
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Old Newport Optometric Associates (NPI 1326557109, Newport Beach, CA); Cowlitz Indian Tribe (NPI 1538412630, Vancouver, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York - State College Optometry, class of 2019
## Record status
- **NPPES last updated:** March 19, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1255991840) · Data from the CMS NPPES public registry.