JACQUELINE M GRUPP-PHELAN M.D.
NPI 1619904109
Pediatrics - Pediatric Emergency Medicine in San Francisco, CA
About Jacqueline M Grupp-phelan M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE M GRUPP-PHELAN M.D. (NPI 1619904109) is an individual pediatric emergency medicine provider in San Francisco, California, licensed in California (G149165) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (1990).
NPPES Registry Identity
Specialties & Licenses 2
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 M Grupp-phelan M.d. 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.
Medicare Billing Reassignments
5Medicare enrollment records show Jacqueline Grupp-phelan reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Francisco, CA 94110
- Reassigned Medicare billing, California enrollment
- 842 clinicians in this Medicare group
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 1,159 clinicians in this Medicare group
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 5,645 clinicians in this Medicare group
San Francisco, CA 94122
- Reassigned Medicare billing, California enrollment
- 5,544 clinicians in this Medicare group
Oakland, CA 94609
- Reassigned Medicare billing, California enrollment
- 118 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.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 FRANCISCO, CA 94110
SAN FRANCISCO, CA 94110
SAN FRANCISCO, CA 94110
SAN FRANCISCO, CA 94110
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 Grupp-phelan's NPI number?
The NPI number for Jacqueline Grupp-phelan is 1619904109. It was assigned to this individual provider in the NPPES registry on June 28, 2006.
Where is Jacqueline Grupp-phelan located?
Jacqueline Grupp-phelan practices at 1001 Potrero Ave Bldg. 25, 1st Floor, San Francisco, CA 94110. The listed phone number is (628) 206-8111.
What is Jacqueline Grupp-phelan's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.
Is Jacqueline Grupp-phelan enrolled in Medicare?
Yes. Jacqueline Grupp-phelan 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 organizations bill Medicare for Jacqueline Grupp-phelan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Grupp-phelan reassigns Medicare benefits to 5 organizations: University Of California Sfgh Medical Group (San Francisco, CA), Ucsf Pediatrics Associates (San Francisco, CA), University Of California San Francisco (San Francisco, CA), Ucsf Medical Group Business Services (San Francisco, CA) and Ucsf Health Medical Foundation (Oakland, 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 Jacqueline Grupp-phelan'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 Grupp-phelan was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Jacqueline M Grupp-Phelan, M.D. · NPI 1619904109
Pediatric Emergency Medicine physician in San Francisco, California. Individual provider, active in the CMS NPPES registry since June 28, 2006.
## Identity
- **NPI:** 1619904109 (Entity type: Individual)
- **Enumerated:** June 28, 2006
- **Primary specialty:** Pediatrics - Pediatric Emergency Medicine · taxonomy 2080P0204X
- **State license:** G149165 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1001 POTRERO AVE, BLDG. 25, 1ST FLOOR, San Francisco, CA 94110-3518
- **Phone:** (628) 206-8111 · **Fax:** (628) 206-9038
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): University Of California Sfgh Medical Group (NPI 1174598296, San Francisco, CA); Ucsf Pediatrics Associates (NPI 1376614016, San Francisco, CA); University Of California San Francisco (NPI 1346329380, San Francisco, CA); Ucsf Medical Group Business Services (NPI 1477624104, San Francisco, CA); Ucsf Health Medical Foundation (NPI 1922124866, Oakland, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Cincinnati College Of Medicine, class of 1990
## Record status
- **NPPES last updated:** May 11, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1619904109) · Data from the CMS NPPES public registry.