JACQUELINE M HOOGERVORST AG-ACNP
NPI 1699481887
Nurse Practitioner - Acute Care in Moreno Valley, CA

Q: What is Jacqueline Hoogervorst's NPI number?

The NPI number for Jacqueline Hoogervorst is 1699481887. It was assigned to this individual provider in the NPPES registry on January 30, 2023.

Q: What is Jacqueline Hoogervorst's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Active since January 30, 2023PECOS EnrolledAccepts Medicare Assignment

26520 CACTUS AVE, MORENO VALLEY, CA 92555(951) 486-4000 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jacqueline M Hoogervorst Ag-acnp NPPES

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

JACQUELINE M HOOGERVORST AG-ACNP (NPI 1699481887) is an individual acute care provider in Moreno Valley, California, licensed in California (95024083) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1699481887

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameJACQUELINE M HOOGERVORSTCredential: AG-ACNP

Location Address26520 CACTUS AVEMoreno Valley, CA 92555-3927

Mailing Address33034 Clairette CtWinchester, CA 92596-4523

Phone(951) 486-4000

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJanuary 30, 2023

NPPES CertifiedOctober 7, 2022

✔ NPI 1699481887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in CA · 95024083

Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 784279 (CA)

26520 CACTUS AVE, Moreno Valley, CA 92555

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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 M Hoogervorst Ag-acnp 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 ID1759748478

PECOS Enrollment IDI20230612000186

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92555 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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 20

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

RENAISSANCE RADIOLOGY MEDICAL GROUP, INC.

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