Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACQUELYN MARIE SPRING
NPI 1669091807
Family Medicine in Los Angeles, CA

Active since April 08, 2020PECOS Enrolled
11620 WILSHIRE BLVD STE 100, LOS ANGELES, CA 90025(424) 315-4800 Get Directions Write a Review

NPPES record last updated: September 8, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 8, 2026, Oct 2, 2023, Apr 8, 2020 (3 updates tracked since 2020).

About Jacquelyn Marie Spring NPPES

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

JACQUELYN MARIE SPRING (NPI 1669091807) is an individual family medicine provider in Los Angeles, California, licensed in California (A203822) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in St Francis.

NPPES Registry Identity

NPI1669091807
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJACQUELYN MARIE SPRING
Location Address11620 WILSHIRE BLVD STE 100Los Angeles, CA 90025-6801
Mailing Address4140 W 190th St Fl 2Torrance, CA 90504-5513
Sole ProprietorNo
Enumeration DateApril 8, 2020
Last NPPES UpdateSeptember 8, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2026
✔ NPI 1669091807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · A203822✔ Licensed in WI · 82532-20
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11620 WILSHIRE BLVD STE 100, Los Angeles, CA 90025

Secondary Practice Location 1

Location 12000 E Layton AveSt Francis, WI 53235-6053 · Phone (414) 744-6589

Other Identifiers 1

Medicaid100250486WI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacquelyn Marie Spring is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
29 services22 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
26 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90025 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
11620 WILSHIRE BLVD STE 100
LOS ANGELES, CA 90025
Internal Medicine
11620 WILSHIRE BLVD STE 100
LOS ANGELES, CA 90025
Non-Pharmacy Dispensing Site
11620 WILSHIRE BLVD STE 100
LOS ANGELES, CA 90025

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 Jacquelyn Spring's NPI number?

The NPI number for Jacquelyn Spring is 1669091807. It was assigned to this individual provider in the NPPES registry on April 8, 2020.

Where is Jacquelyn Spring located?

Jacquelyn Spring practices at 11620 Wilshire Blvd Ste 100, Los Angeles, CA 90025. The listed phone number is (424) 315-4800.

What is Jacquelyn Spring's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jacquelyn Spring enrolled in Medicare?

Yes. Jacquelyn Spring is registered in the Medicare PECOS enrollment system.

What insurance does Jacquelyn Spring accept?

Health plans from Aspirus Health Plan and CareSource (Common Ground Healthcare) list Jacquelyn Spring as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacquelyn Spring was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.