JACQUELINE MARIE JOLLOTA FNP
NPI 1366159741
Nurse Practitioner - Family in Thousand Oaks, CA
About Jacqueline Marie Jollota Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE MARIE JOLLOTA FNP (NPI 1366159741) is an individual family provider in Thousand Oaks, California, licensed in California (NP95021710) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 3
Other Identifiers 2
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
Jacqueline Marie Jollota 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.
Medicare Billing Reassignment
Medicare enrollment records show Jacqueline Jollota reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Thousand Oaks, CA 91360
- Reassigned Medicare billing, California enrollment
- 18 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 9
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 91360 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 9
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 Jacqueline Jollota's NPI number?
The NPI number for Jacqueline Jollota is 1366159741. It was assigned to this individual provider in the NPPES registry on November 3, 2022. The provider is also known as Jacqueline Capaldi.
Where is Jacqueline Jollota located?
Jacqueline Jollota practices at 267 W Hillcrest Dr, Thousand Oaks, CA 91360. The listed phone number is (805) 497-1694.
What is Jacqueline Jollota's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jacqueline Jollota enrolled in Medicare?
Yes. Jacqueline Jollota 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 Jacqueline Jollota's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Jollota reassigns Medicare benefits to Forefront Dermatology - Pacific, P.C. (Thousand Oaks, 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 Jacqueline Jollota'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 Jollota was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.
# Jacqueline Marie Jollota, FNP · NPI 1366159741
Family physician in Thousand Oaks, California. Individual provider, active in the CMS NPPES registry since November 3, 2022.
## Identity
- **NPI:** 1366159741 (Entity type: Individual)
- **Enumerated:** November 3, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** NP95021710 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 267 W HILLCREST DR, Thousand Oaks, CA 91360-4211
- **Phone:** (805) 497-1694 · **Fax:** (805) 373-7493
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Forefront Dermatology - Pacific, P.C. (NPI 1356535009, Thousand Oaks, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 15, 2026
- **Other identifiers:** Other NP95021710 (CA); Other NPF95021710 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1366159741) · Data from the CMS NPPES public registry.