JACQUELINE LYKSTAD DO
NPI 1659990836
Surgery - Surgical Critical Care in Fresno, CA

Active since April 08, 2020PECOS Enrolled
2823 FRESNO ST DEPT OF, FRESNO, CA 93721(559) 443-2682 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jacqueline Lykstad Do NPPES

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

JACQUELINE LYKSTAD DO (NPI 1659990836) is an individual surgical critical care provider in Fresno, California, licensed in California (24095) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2020).

NPPES Registry Identity

NPI1659990836
Entity TypeIndividualFemale
Primary Taxonomy2086S0102X
Provider Legal NameJACQUELINE LYKSTADCredential: DO
Location Address2823 FRESNO ST DEPT OFFresno, CA 93721-1324
Mailing Address2625 E Divisadero StFresno, CA 93721-1431 · (559) 443-2682
Sole ProprietorNo
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2020
Enumeration DateApril 8, 2020
Last NPPES UpdateJune 26, 2026
NPPES CertifiedJune 26, 2026
NPI 1659990836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License Licensed in CA · 24095
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
2823 FRESNO ST DEPT OF, Fresno, CA 93721

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jacqueline Lykstad Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092288787
PECOS Enrollment IDI20260624002588
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.

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 Lykstad's NPI number?

The NPI number for Jacqueline Lykstad is 1659990836. It was assigned to this individual provider in the NPPES registry on April 8, 2020.

Where is Jacqueline Lykstad located?

Jacqueline Lykstad practices at 2823 Fresno St Dept Of, Fresno, CA 93721. The listed phone number is (559) 443-2682.

What is Jacqueline Lykstad's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Jacqueline Lykstad enrolled in Medicare?

Yes. Jacqueline Lykstad is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacqueline Lykstad was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.