MS. JACKELYNN DAO FNP
NPI 1649530791
Nurse Practitioner - Family in Piedmont, CA
About Ms. Jackelynn Dao Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JACKELYNN DAO FNP (NPI 1649530791) is an individual family provider in Piedmont, California, licensed in California (21845) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
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
Ms. Jackelynn Dao Fnp 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
3Medicare enrollment records show Jackelynn Dao reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sacramento, CA 95819
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Cep America - California
- 2,323 clinicians in this Medicare group
Richmond, CA 94801
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Fremont, CA 94538
- Reassigned Medicare billing, California enrollment
- 103 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94610 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jackelynn Dao's NPI number?
The NPI number for Jackelynn Dao is 1649530791. It was assigned to this individual provider in the NPPES registry on May 23, 2012.
Where is Jackelynn Dao located?
Jackelynn Dao practices at 1345 Grand Ave Ste 103, Piedmont, CA 94610. The listed phone number is (510) 428-4900.
What is Jackelynn Dao's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jackelynn Dao enrolled in Medicare?
Yes. Jackelynn Dao 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 Jackelynn Dao's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jackelynn Dao reassigns Medicare benefits to 3 organizations: California Emergency Physc Med Grp (Sacramento, CA), Permanente Medical Group Inc (Richmond, CA) and Emergency Physicians Associates Fremont PC (Fremont, 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 Jackelynn Dao'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 Jackelynn Dao was last updated on January 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Ms. Jackelynn Dao, FNP · NPI 1649530791
Family physician in Piedmont, California. Individual provider, active in the CMS NPPES registry since May 23, 2012.
## Identity
- **NPI:** 1649530791 (Entity type: Individual)
- **Enumerated:** May 23, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 21845 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1345 GRAND AVE STE 103, Piedmont, CA 94610-1074
- **Phone:** (510) 428-4900
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): California Emergency Physc Med Grp (NPI 1942509047, Sacramento, CA); Permanente Medical Group Inc (NPI 1235226531, Richmond, CA); Emergency Physicians Associates Fremont PC (NPI 1790250967, Fremont, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** January 6, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1649530791) · Data from the CMS NPPES public registry.