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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: November 01, 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
Phone(424) 315-4800
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
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Secondary Practice Location 1

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

Other Identifiers 1

Medicaid100250486WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

Lakeshore Medical Clinic, LLC
1,756 mi
Family Medicine
2000 E LAYTON AVE STE 100
Saint Francis, WI 53235
  • Reassigned Medicare billing, Wisconsin enrollment
  • 960 clinicians in this Medicare group
NPI 1003861188 (414) 744-6589

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 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.

KATHERINE TRIPLETT DO
Family Medicine
11620 WILSHIRE BLVD STE 100
LOS ANGELES, CA 90025
Los Angeles County (310) 423-4800
ENOCH ARHINFUL MD
Internal Medicine
11620 WILSHIRE BLVD STE 100
LOS ANGELES, CA 90025
Los Angeles County (424) 315-4802
CEDARS-SINAI MEDICAL CARE FOUNDATION
Non-Pharmacy Dispensing Site
11620 WILSHIRE BLVD STE 100
LOS ANGELES, CA 90025
Los Angeles County (310) 423-4800

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.

Which organization bills Medicare for Jacquelyn Spring's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Spring reassigns Medicare benefits to Lakeshore Medical Clinic, LLC (Saint Francis, WI). 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 Jacquelyn Spring's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacquelyn Spring accept?

Health plans from Aspirus Health Plan 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 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.