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

Active since April 08, 2020PECOS EnrolledAccepts Medicare Assignment
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: October 18, 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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacqueline Lykstad Do 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 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.

Medicare Billing Reassignment

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

Emergency Medicine
2823 FRESNO ST
Fresno, CA 93721
  • Reassigned Medicare billing, California enrollment
  • 295 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.

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 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 Lykstad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Lykstad reassigns Medicare benefits to Central California Faculty Medical Group, Inc. (Fresno, 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 Lykstad'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 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 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.