DR. JACQUELINE J WONG DDS, MSD
NPI 1417315490
Dentist in Seattle, WA
About Dr. Jacqueline J Wong Dds, Msd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACQUELINE J WONG DDS, MSD (NPI 1417315490) is an individual dentist in Seattle, Washington, licensed in Washington (DE60657443) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Redmond, and is a graduate of University Of Washington School Of Dentistry (2015).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jacqueline J Wong Dds, Msd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Jacqueline Wong reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Seattle, WA 98195
- Reassigned Medicare billing, Washington enrollment
- 27 clinicians in this Medicare group
Seattle, WA 98195
- Reassigned Medicare billing, Washington enrollment
- 274 clinicians in this Medicare group
Bellevue, WA 98004
- Reassigned Medicare billing, Washington enrollment
- 3 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98195 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SEATTLE, WA 98195
SEATTLE, WA 98195
SEATTLE, WA 98195
SEATTLE, WA 98195
SEATTLE, WA 98195
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 Wong's NPI number?
The NPI number for Jacqueline Wong is 1417315490. It was assigned to this individual provider in the NPPES registry on February 4, 2016.
Where is Jacqueline Wong located?
Jacqueline Wong practices at 1959 NE Pacific St, Seattle, WA 98195. The listed phone number is (206) 685-2937.
What is Jacqueline Wong's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Jacqueline Wong enrolled in Medicare?
Yes. Jacqueline Wong is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jacqueline Wong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Wong reassigns Medicare benefits to 3 organizations: Uw School Of Dentistry (Seattle, WA), University Of Washington (Seattle, WA) and Olson Wong, PLLC. (Bellevue, WA). 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 Jacqueline Wong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacqueline Wong accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Premera Blue Cross Blue Shield of Alaska list Jacqueline Wong 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 Jacqueline Wong was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. Jacqueline J Wong, DDS, MSD · NPI 1417315490
Dentist provider in Seattle, Washington. Individual provider, active in the CMS NPPES registry since February 4, 2016.
## Identity
- **NPI:** 1417315490 (Entity type: Individual)
- **Enumerated:** February 4, 2016
- **Primary specialty:** Dentist · taxonomy 122300000X
- **State license:** DE60657443 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1959 NE PACIFIC ST, Seattle, WA 98195-3926
- **Phone:** (206) 685-2937
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Uw School Of Dentistry (NPI 1972676971, Seattle, WA); University Of Washington (NPI 1104900398, Seattle, WA); Olson Wong, PLLC. (NPI 1023849544, Bellevue, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Washington School Of Dentistry, class of 2015
## Record status
- **NPPES last updated:** October 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1417315490) · Data from the CMS NPPES public registry.