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JACQUELINE MICHELLE PEREZ
NPI 1346043734
Counselor - Professional in Milwaukee, WI

Active since March 31, 2025PECOS Enrolled
1032 S CESAR E CHAVEZ DR, MILWAUKEE, WI 53204(414) 672-1353 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 18, 2026, Mar 31, 2025 (2 updates tracked since 2025).

About Jacqueline Michelle Perez NPPES

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

JACQUELINE MICHELLE PEREZ (NPI 1346043734) is an individual professional provider in Milwaukee, Wisconsin, licensed in Wisconsin (8683-226) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1346043734
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJACQUELINE MICHELLE PEREZ
Location Address1032 S CESAR E CHAVEZ DRMilwaukee, WI 53204-2203
Mailing Address1032 S Cesar E Chavez DrMilwaukee, WI 53204-2203 · (414) 897-5602 · Fax (262) 408-5094
Phone(414) 672-1353
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 31, 2025
Last NPPES UpdateAugust 18, 20262 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
✔ NPI 1346043734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 8683-226
1032 S CESAR E CHAVEZ DR, Milwaukee, WI 53204
Open in Google Maps ↗

Secondary Practice Locations 4

Location 12906 S 20th StMilwaukee, WI 53215-3732 · Phone (414) 416-5629
Location 24570 S 27th StMilwaukee, WI 53221-2145 · Phone (414) 672-1353
Location 3309 E North StWaukesha, WI 53188-3718 · Phone (262) 408-5094
Location 41635 W National AveMilwaukee, WI 53204-1130 · Phone (262) 408-5094

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Michelle Perez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466940416
PECOS Enrollment IDI20251022000041
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 Jacqueline Perez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

16th Street Community Health Center Inc.
Same address
Federally Qualified Health Center (FQHC)
1032 S CESAR E CHAVEZ DR
Milwaukee, WI 53204
  • Reassigned Medicare billing, Wisconsin enrollment
  • 147 clinicians in this Medicare group
NPI 1417912999 (414) 672-1353

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.

EMILY GEBHARDT PA-C
Physician Assistant
1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
Milwaukee County (414) 672-1353
MARIA GABRIELA CABALLERO MOERSFELDER MS, PCTL
Counselor (Mental Health)
1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
Milwaukee County (414) 672-1354
JENNA RUTH HAEBERLE APRN, CNM
Advanced Practice Midwife
1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
Milwaukee County (414) 672-1353
KAITLIN MARIE MCKENNA DO
Pediatrics
1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
Milwaukee County (414) 672-1353
BRENDA ESMERALDA RIVERA CARO RDN
Dietitian, Registered
1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
Milwaukee County (414) 672-1353
JOHN MATTHEW DUNN M.D.
Pediatrics
1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
Milwaukee County (414) 672-1353
MRS. ANGELICA M MENDIETA NURSE PRACTITIONER
Nurse Practitioner (Family)
1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
Milwaukee County (414) 672-1353
MS. ANGELA KATHRYN GOLON PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
Milwaukee County (414) 672-1353

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 Perez's NPI number?

The NPI number for Jacqueline Perez is 1346043734. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Jacqueline Perez located?

Jacqueline Perez practices at 1032 S Cesar E Chavez Dr, Milwaukee, WI 53204. The listed phone number is (414) 672-1353.

What is Jacqueline Perez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jacqueline Perez enrolled in Medicare?

Yes. Jacqueline Perez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacqueline Perez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Perez reassigns Medicare benefits to 16th Street Community Health Center Inc. (Milwaukee, WI). 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 Jacqueline Perez'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 Jacqueline Perez was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.