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JACQUAE M. WALKER MD
NPI 1396270880
Family Medicine in Vallejo, CA

Active since April 22, 2017PECOS Enrolled
975 SERENO DR, VALLEJO, CA 94589(707) 651-1000 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 20, 2021, Sep 14, 2020, Apr 22, 2017 (3 updates tracked since 2017).

About Jacquae M. Walker Md NPPES

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

JACQUAE M. WALKER MD (NPI 1396270880) is an individual family medicine provider in Vallejo, California, licensed in California (A169673) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Charlottesville, and is a graduate of Saint Louis University School Of Medicine (2017).

NPPES Registry Identity

NPI1396270880
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJACQUAE M. WALKERCredential: MD
Location Address975 SERENO DRVallejo, CA 94589-2441
Mailing Address975 Sereno DrVallejo, CA 94589-2441 · (707) 651-1000
Phone(707) 651-1000
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2017
Enumeration DateApril 22, 2017
Last NPPES UpdateDecember 20, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2020
✔ NPI 1396270880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A169673
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
975 SERENO DR, Vallejo, CA 94589
Open in Google Maps ↗

Secondary Practice Location 1

Location 11215 Lee St, Box #800499Charlottesville, VA 22908-0816 · Phone (424) 924-5348

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacquae M. Walker Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183995871
PECOS Enrollment IDI20200916000922
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 Reassignments

2

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

Permanente Medical Group Inc
0.1 mi
Internal Medicine
975 SERENO DRIVE
Vallejo, CA 94589
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1336222397 (707) 651-1000
County Of Los Angeles Auditor Controller
330 mi
Clinic/Center
335 E AVENUE I
Lancaster, CA 93535
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: County Of Los Angeles
  • 435 clinicians in this Medicare group
NPI 1366453045 (661) 948-8581

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 94589 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
$98.85 typical visit price
range $65.02 – $191.95
Typical copayment $24.71 (range $16.25 – $47.98)
Most-billed visit code 99203
Established Patient
$113.05 typical visit price
range $21.86 – $157.69
Typical copayment $28.26 (range $5.46 – $39.42)
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 20

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

DR. ROBERTA YIWUN WANG M.D.
Physical Medicine & Rehabilitation
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-5128
RIHONG ZHOU
Pharmacist
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-2072
EVAN HIRSCHBEIN
Student in an Organized Health Care Education/Training Program
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 339-2074
MS. JEAN BROADNAX LCSW
Social Worker (Clinical)
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-4423
SEAN NISAM
Student in an Organized Health Care Education/Training Program
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-4071
LI M. TSANG MD
Anesthesiology
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-1000
DONN R. ERICKSON MD
Family Medicine
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-1000
JOHN S. WOOD MD
Surgery
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-1000

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 Jacquae Walker's NPI number?

The NPI number for Jacquae Walker is 1396270880. It was assigned to this individual provider in the NPPES registry on April 22, 2017.

Where is Jacquae Walker located?

Jacquae Walker practices at 975 Sereno Dr, Vallejo, CA 94589. The listed phone number is (707) 651-1000.

What is Jacquae Walker's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jacquae Walker enrolled in Medicare?

Yes. Jacquae Walker is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jacquae Walker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacquae Walker reassigns Medicare benefits to 2 organizations: Permanente Medical Group Inc (Vallejo, CA) and County Of Los Angeles Auditor Controller (Lancaster, CA). 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 Jacquae Walker'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 Jacquae Walker was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.