1. Home
  2. Directory
  3. California
  4. San Francisco
  5. Pediatrics
  6. NPI Profile

JACQUELINE M GRUPP-PHELAN M.D.
NPI 1619904109
Pediatrics - Pediatric Emergency Medicine in San Francisco, CA

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
74.46/100
CMS Quality Rating
1001 POTRERO AVE, BLDG. 25, 1ST FLOOR, SAN FRANCISCO, CA 94110(628) 206-8111(628) 206-9038 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 11, 2026, Apr 30, 2026 (2 updates tracked since 2026).

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

NPI1619904109
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameJACQUELINE M GRUPP-PHELANCredential: M.D.
Location Address1001 POTRERO AVE, BLDG. 25, 1ST FLOORSan Francisco, CA 94110-3518
Mailing Address1001 Potrero Ave, Bldg. 25, 1st FloorSan Francisco, CA 94110-3518 · (628) 206-8111 · Fax (628) 206-9038
Phone(628) 206-8111
Fax(628) 206-9038
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1990
Enumeration DateJune 28, 2006
Last NPPES UpdateMay 11, 20262 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
✔ NPI 1619904109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in CA · G149165
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License G149165 (CA)
1001 POTRERO AVE, San Francisco, CA 94110
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID9234025701
PECOS Enrollment IDI20171004003687
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 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.

74.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability76
Improvement Activities40
Cost46.68

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.

ROCIO C AGRAZ-LARA RN, PHN
Registered Nurse
1001 POTRERO AVE, ZSFG BUILDING 90 4TH FLOOR
SAN FRANCISCO, CA 94110
San Francisco County (415) 206-8524
DR. SUSAN WLODARCZYK MD
Student in an Organized Health Care Education/Training Program
1001 POTRERO AVE, BLDG 10, 3RD FLOOR, WARD 13 BOX 1364
SAN FRANCISCO, CA 94110
San Francisco County (415) 206-5164
AMY DINER PSY.D.
Student in an Organized Health Care Education/Training Program
1001 POTRERO AVE
SAN FRANCISCO, CA 94110
San Francisco County (415) 206-5270
CHRISTOPHER RUIZ
Case Manager/Care Coordinator
1001 POTRERO AVE
SAN FRANCISCO, CA 94110
San Francisco County (415) 206-3950
C. STIRLING SOMERS
Counselor
1001 POTRERO AVE
SAN FRANCISCO, CA 94110
San Francisco County (415) 206-5270
WILLIAM RUSSEL CARPENTER FNP-C
Nurse Practitioner (Family)
1001 POTRERO AVE
SAN FRANCISCO, CA 94110
San Francisco County (628) 206-8000
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Clinical Medical Laboratory
1001 POTRERO AVE, BLDG 100, RM 104
SAN FRANCISCO, CA 94110
San Francisco County (415) 502-4775
DR. DENISE RENEE GONZALEZ MD
Internal Medicine
1001 POTRERO AVE, 1M
SAN FRANCISCO, CA 94110
San Francisco County (415) 206-6075

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.

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 3 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.