JACQUELINE DAWN FOCHTMANN RN
NPI 1699433433
Registered Nurse - General Practice in Centreville, AL

Active since November 29, 2021PECOS EnrolledAccepts Medicare Assignment
208 PIERSON AVE, CENTREVILLE, AL 35042(205) 926-3288 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacqueline Dawn Fochtmann Rn NPPES

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

JACQUELINE DAWN FOCHTMANN RN (NPI 1699433433) is an individual general practice provider in Centreville, Alabama, licensed in Alabama (1-114223) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1699433433
Entity TypeIndividualFemale
Primary Taxonomy163WG0000X
Provider Legal NameJACQUELINE DAWN FOCHTMANNCredential: RN
Location Address208 PIERSON AVECentreville, AL 35042-2918
Mailing Address5885 Highway 82Centreville, AL 35042-5713 · (205) 337-3949
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 29, 2021
NPPES CertifiedNovember 29, 2021
NPI 1699433433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · General PracticeNursing Service Providers
Taxonomy Code163WG0000X
License Licensed in AL · 1-114223
208 PIERSON AVE, Centreville, AL 35042

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 and accepts Medicare assignment

Jacqueline Dawn Fochtmann Rn 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 ID1052859113
PECOS Enrollment IDI20240820003376
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.

Other Providers at the Same Location NPPES 20

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

Family Medicine
208 PIERSON AVE
CENTREVILLE, AL 35042
Pharmacy (Long Term Care Pharmacy)
208 PIERSON AVE
CENTREVILLE, AL 35042
Emergency Medicine
208 PIERSON AVE
CENTREVILLE, AL 35042
General Acute Care Hospital
208 PIERSON AVE
CENTREVILLE, AL 35042
Medicare Defined Swing Bed Unit
208 PIERSON AVE
CENTREVILLE, AL 35042
Nurse Practitioner (Family)
208 PIERSON AVE
CENTREVILLE, AL 35042
Skilled Nursing Facility
208 PIERSON AVE
CENTREVILLE, AL 35042
General Acute Care Hospital
208 PIERSON AVE
CENTREVILLE, AL 35042

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 Fochtmann's NPI number?

The NPI number for Jacqueline Fochtmann is 1699433433. It was assigned to this individual provider in the NPPES registry on November 29, 2021.

Where is Jacqueline Fochtmann located?

Jacqueline Fochtmann practices at 208 Pierson Ave, Centreville, AL 35042. The listed phone number is (205) 926-3288.

What is Jacqueline Fochtmann's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in General Practice, with taxonomy code 163WG0000X.

Is Jacqueline Fochtmann enrolled in Medicare?

Yes. Jacqueline Fochtmann 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.

What insurance does Jacqueline Fochtmann accept?

Health plans from Blue Cross and Blue Shield of Alabama list Jacqueline Fochtmann 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 Jacqueline Fochtmann was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.