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JACQUELINE KIM NGUYEN MD
NPI 1609111665
Orthopaedic Surgery - Foot and Ankle Surgery in Napa, CA

Active since December 03, 2012PECOS EnrolledAccepts Medicare Assignment
3273 CLAREMONT WAY STE 100, NAPA, CA 94558(707) 254-7117(707) 265-6435 Get Directions Write a Review

NPPES record last updated: August 21, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jacqueline Kim Nguyen Md NPPES

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

JACQUELINE KIM NGUYEN MD (NPI 1609111665) is an individual foot and ankle surgery provider in Napa, California, licensed in California (A128602) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (2012).

NPPES Registry Identity

NPI1609111665
Entity TypeIndividualFemale
Primary Taxonomy207XX0004X
Provider Legal NameJACQUELINE KIM NGUYENCredential: MD
Location Address3273 CLAREMONT WAY STE 100Napa, CA 94558
Mailing Address3273 Claremont Way, Ste 100Napa, CA 94558-3328 · (310) 702-2084
Phone(707) 254-7117
Fax(707) 265-6435
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2012
Enumeration DateDecember 3, 2012
Last NPPES UpdateAugust 21, 2018
✔ NPI 1609111665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic Surgery · Foot and Ankle SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XX0004X
License✔ Licensed in CA · A128602
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 56195 (TN)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3273 CLAREMONT WAY STE 100, Napa, CA 94558
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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 Kim Nguyen Md 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.

PECOS PAC ID9133489016
PECOS Enrollment IDI20180801002749, I20180926002827
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 Reassignment

Medicare enrollment records show Jacqueline Nguyen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

San Mateo County
44 mi
Community/Behavioral Health
375 89TH ST
Daly City, CA 94015
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: County Of San Mateo
  • Also billed through NPI 1831268580 (California)
  • 597 clinicians in this Medicare group
NPI 1053367854 (650) 301-8650

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 6

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

KAELYN CORINNE CASPILLO PA-C
Physician Assistant
3273 CLAREMONT WAY STE 100
NAPA, CA 94558
Napa County (707) 603-1060
STEPHANIE SERNA PA-C
Physician Assistant
3273 CLAREMONT WAY STE 100
NAPA, CA 94558
Napa County (707) 254-7117
SYLVIA J MEYER PA-C
Physician Assistant
3273 CLAREMONT WAY STE 100
NAPA, CA 94558
Napa County (707) 603-1060
MISS MICHELLE FINESSE DEL ROSARIO PA-C
Physician Assistant
3273 CLAREMONT WAY STE 100, NAPA VALLEY ORTHOPAEDIC MEDICAL GROUP, INC
NAPA, CA 94558
Napa County (707) 254-7117
DR. MICHAEL LOUIS CARAVELLI M.D.
Orthopaedic Surgery
3273 CLAREMONT WAY STE 100
NAPA, CA 94558
Napa County (707) 254-7117
DR. JACQUELINE SOICHER WEISBEIN D.O.
Physical Medicine & Rehabilitation (Pain Medicine)
3273 CLAREMONT WAY STE 100
NAPA, CA 94558
Napa County (707) 254-7117

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 Nguyen's NPI number?

The NPI number for Jacqueline Nguyen is 1609111665. It was assigned to this individual provider in the NPPES registry on December 3, 2012.

Where is Jacqueline Nguyen located?

Jacqueline Nguyen practices at 3273 Claremont Way Ste 100, Napa, CA 94558. The listed phone number is (707) 254-7117.

What is Jacqueline Nguyen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Foot and Ankle Surgery, with taxonomy code 207XX0004X.

Is Jacqueline Nguyen enrolled in Medicare?

Yes. Jacqueline Nguyen 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 Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Nguyen reassigns Medicare benefits to San Mateo County (Daly City, 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 Nguyen'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 Nguyen was last updated on August 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.