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JACKIE JIAQI WU RD
NPI 1265295117
Dietitian, Registered in Phoenix, AZ

Active since February 02, 2024Accepts Medicare Assignment
10000 N 31ST AVE STE C105, PHOENIX, AZ 85051(602) 674-1068(480) 247-5461 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jackie Jiaqi Wu Rd NPPES

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

JACKIE JIAQI WU RD (NPI 1265295117) is an individual dietitian, registered in Phoenix, Arizona, licensed in Arizona (86377434) and active in the NPI registry since February 2024. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1265295117
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJACKIE JIAQI WUCredential: RD
Location Address10000 N 31ST AVE STE C105Phoenix, AZ 85051-9625
Mailing Address18001 N 79th Ave Ste A12Glendale, AZ 85308-8398 · (623) 399-6825 · Fax (623) 505-3474
Phone(602) 674-1068
Fax(480) 247-5461
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 2, 2024
Last NPPES UpdateDecember 17, 2025
NPPES CertifiedDecember 17, 2025
✔ NPI 1265295117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses✔ Licensed in AZ · 86377434✔ Licensed in IL · 164.009460
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
10000 N 31ST AVE STE C105, Phoenix, AZ 85051
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..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

Jackie Jiaqi Wu Rd 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 ID2860979911
PECOS Enrollment IDI20260121001104

Medicare Billing Reassignments

2

Medicare enrollment records show Jackie Wu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Am Nutrition Services
7.6 mi
Dietitian, Registered
18001 N 79TH AVE STE A12
Glendale, AZ 85308
  • Reassigned Medicare billing, Arizona enrollment
  • 54 clinicians in this Medicare group
NPI 1003011602 (623) 399-6825
Strategic Nutrition
991 mi
Dietitian, Registered
5021 TUALATA LN
Lake Oswego, OR 97035
  • Reassigned Medicare billing, Oregon enrollment
  • 44 clinicians in this Medicare group
NPI 1679823108 (503) 974-6454

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 85051 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
$0.00 typical visit price
range $55.44 – $168.60
Typical copayment $0.00 (range $13.86 – $42.15)
Most-billed visit code NA
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 9

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

MICHELLE SCHICK RD
Dietitian, Registered
10000 N 31ST AVE STE C105
PHOENIX, AZ 85051
Maricopa County (623) 399-6825
ALEXANDER CLABOURNE RDN
Dietitian, Registered
10000 N 31ST AVE STE C105
PHOENIX, AZ 85051
Maricopa County (623) 399-6825
DANA COX DR, RD
Dietitian, Registered
10000 N 31ST AVE STE C105
PHOENIX, AZ 85051
Maricopa County (623) 399-6825
BRANDON YAMAGUCHI
Dietitian, Registered
10000 N 31ST AVE STE C105
PHOENIX, AZ 85051
Maricopa County (602) 674-1068
KAYLEEN VARGAS RD
Dietitian, Registered
10000 N 31ST AVE STE C105
PHOENIX, AZ 85051
Maricopa County (623) 399-6825
VICTORIA ANNE GOFF RD
Dietitian, Registered
10000 N 31ST AVE STE C105
PHOENIX, AZ 85051
Maricopa County (623) 399-6825
JENNIFER ANN KRUCHINSKI RD, LDN
Dietitian, Registered
10000 N 31ST AVE STE C105
PHOENIX, AZ 85051
Maricopa County (623) 399-6825
NATASHA JUHL
Dietitian, Registered
10000 N 31ST AVE STE C105
PHOENIX, AZ 85051
Maricopa County (602) 674-1068

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 Jackie Wu's NPI number?

The NPI number for Jackie Wu is 1265295117. It was assigned to this individual provider in the NPPES registry on February 2, 2024.

Where is Jackie Wu located?

Jackie Wu practices at 10000 N 31st Ave Ste C105, Phoenix, AZ 85051. The listed phone number is (602) 674-1068.

What is Jackie Wu's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Jackie Wu enrolled in Medicare?

Yes. Jackie Wu 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 Jackie Wu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jackie Wu reassigns Medicare benefits to 2 organizations: Am Nutrition Services (Glendale, AZ) and Strategic Nutrition (Lake Oswego, OR). 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 Jackie Wu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jackie Wu accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Jackie Wu 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 Jackie Wu was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.