JACQUELIN RANDY KITSON RN, NP, BC
NPI 1508963299
Nurse Practitioner - Family in San Jose, CA
About Jacquelin Randy Kitson Rn, Np, Bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELIN RANDY KITSON RN, NP, BC (NPI 1508963299) is an individual family provider in San Jose, California, licensed in California (546807) and active in the NPI registry since September 2006.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacquelin Randy Kitson Rn, Np, Bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jacquelin Kitson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Clara, CA 95051
- Reassigned Medicare billing, California enrollment
- 20,078 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.
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.
SAN JOSE, CA 95119
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 Jacquelin Kitson's NPI number?
The NPI number for Jacquelin Kitson is 1508963299. It was assigned to this individual provider in the NPPES registry on September 17, 2006. The provider is also known as Jacquelin Randy Dichter Rn, Np, Bc.
Where is Jacquelin Kitson located?
Jacquelin Kitson practices at 270 International Cir 2 North, San Jose, CA 95119. The listed phone number is (408) 363-4968.
What is Jacquelin Kitson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jacquelin Kitson enrolled in Medicare?
Yes. Jacquelin Kitson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jacquelin Kitson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelin Kitson reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, 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 Jacquelin Kitson'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 Jacquelin Kitson was last updated on June 20, 2022. 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.
# Jacquelin Randy Kitson, RN, NP, BC · NPI 1508963299
Family physician in San Jose, California. Individual provider, active in the CMS NPPES registry since September 17, 2006.
## Identity
- **NPI:** 1508963299 (Entity type: Individual)
- **Enumerated:** September 17, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 546807 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 270 INTERNATIONAL CIR, 2 NORTH, San Jose, CA 95119-1130
- **Phone:** (408) 363-4968
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1073606299, Santa Clara, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 20, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1508963299) · Data from the CMS NPPES public registry.