JACKIE VAN DO FNP
NPI 1356925283
Nurse Practitioner - Family in San Marcos, CA

Active since May 06, 2021PECOS EnrolledAccepts Medicare Assignment
111 CAMPUS WAY, SAN MARCOS, CA 92078(760) 806-5700 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 21, 2024, May 6, 2021 (2 updates tracked since 2021).

About Jackie Van Do Fnp NPPES

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

JACKIE VAN DO FNP (NPI 1356925283) is an individual family provider in San Marcos, California, licensed in California (95016368) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Vista, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1356925283
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJACKIE VAN DOCredential: FNP
Location Address111 CAMPUS WAYSan Marcos, CA 92078-4204
Mailing Address10790 Rancho Bernardo RdSan Diego, CA 92127-5705 · (760) 806-5700
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 6, 2021
Last NPPES UpdateNovember 21, 20242 updates tracked since enumeration
NPPES CertifiedNovember 21, 2024
NPI 1356925283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95016368
111 CAMPUS WAY, San Marcos, CA 92078

Secondary Practice Location 1

Location 11000 Vale Terrace DrVista, CA 92084-5218 · Phone (760) 631-5000

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

Jackie Van Do Fnp 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 ID2567871148
PECOS Enrollment IDI20240322003776
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.

Areas of Expertise CMS Part B claims 2

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 or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181
This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.
18 services14 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92078 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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 2

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

Nurse Practitioner (Primary Care)
111 CAMPUS WAY
SAN MARCOS, CA 92078
Family Medicine
111 CAMPUS WAY
SAN MARCOS, CA 92078

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 Do's NPI number?

The NPI number for Jackie Do is 1356925283. It was assigned to this individual provider in the NPPES registry on May 6, 2021.

Where is Jackie Do located?

Jackie Do practices at 111 Campus Way, San Marcos, CA 92078. The listed phone number is (760) 806-5700.

What is Jackie Do's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jackie Do enrolled in Medicare?

Yes. Jackie Do 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.

When was this NPI record last updated?

The NPPES record for Jackie Do was last updated on November 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.