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JACQUELINE VIZCAINO AU.D.
NPI 1417574476
Audiologist in San Antonio, TX

Active since June 25, 2020
4647 MEDICAL DR, SAN ANTONIO, TX 78229(210) 358-4583(210) 358-2653 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 4, 2026, Jun 25, 2020 (2 updates tracked since 2020).

About Jacqueline Vizcaino Au.d. NPPES

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

JACQUELINE VIZCAINO AU.D. (NPI 1417574476) is an individual audiologist in San Antonio, Texas, licensed in Texas (81162) and active in the NPI registry since June 2020. She maintains a secondary practice location in San Antonio and is a graduate of Other (2020).

NPPES Registry Identity

NPI1417574476
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameJACQUELINE VIZCAINOCredential: AU.D.
Location Address4647 MEDICAL DRSan Antonio, TX 78229-4403
Mailing Address170 Babcock RdSan Antonio, TX 78201-3806 · (210) 695-4708 · Fax (210) 695-4706
Phone(210) 358-4583
Fax(210) 358-2653
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 25, 2020
Last NPPES UpdateAugust 4, 20262 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
✔ NPI 1417574476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in TX · 81162
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
Also ListedAudiologist-Hearing Aid FitterTaxonomy 237600000X · License 81162 (TX)
4647 MEDICAL DR, San Antonio, TX 78229
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Secondary Practice Location 1

Location 1170 Babcock RdSan Antonio, TX 78201-3806 · Phone (210) 695-4708 · Fax (210) 695-4706

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Vizcaino Au.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133542632
PECOS Enrollment IDI20200630002522

Medicare Billing Reassignments

2

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

Precision Hearing Conservation, PC
0.6 mi
Audiologist
5101 MEDICAL DR RM 234
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
NPI 1386343341 (210) 695-4708
Community Medicine Associates
7.1 mi
Family Medicine
903 W MARTIN ST # MS 49-2
San Antonio, TX 78207
  • Reassigned Medicare billing, Texas enrollment
  • 1,129 clinicians in this Medicare group
NPI 1245313329 (210) 358-3401

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.

JOHANNA L. VIDOLA
Occupational Therapist
4647 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-2710
KATHERINE FARRIMOND
Occupational Therapist
4647 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-2170
WENDY E. GOODWIN M.D.
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
4647 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 644-7902
MICHAEL FISCHBACH MD
Internal Medicine (Rheumatology)
4647 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 257-1400
JENNIFER REHM PORR M.D.
Family Medicine
4647 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-9450
ALICIA LYNN NAPPER FNP
Nurse Practitioner (Family)
4647 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (201) 358-8145
MICHAEL KATZ MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4647 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 257-1400
MARISSA PEREZ
Speech-Language Pathologist
4647 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-2710

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 Vizcaino's NPI number?

The NPI number for Jacqueline Vizcaino is 1417574476. It was assigned to this individual provider in the NPPES registry on June 25, 2020.

Where is Jacqueline Vizcaino located?

Jacqueline Vizcaino practices at 4647 Medical Dr, San Antonio, TX 78229. The listed phone number is (210) 358-4583.

What is Jacqueline Vizcaino's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Jacqueline Vizcaino enrolled in Medicare?

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

Which organizations bill Medicare for Jacqueline Vizcaino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Vizcaino reassigns Medicare benefits to 2 organizations: Precision Hearing Conservation, PC (San Antonio, TX) and Community Medicine Associates (San Antonio, TX). 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 Vizcaino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Vizcaino accept?

Health plans from Blue Cross and Blue Shield of Texas list Jacqueline Vizcaino 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 Vizcaino was last updated on August 4, 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.