JACKELINE LUCIA SEPULVEDA PA
NPI 1790424968
Physician Assistant in Gilbert, AZ

Active since June 03, 2022PECOS EnrolledAccepts Medicare Assignment
2946 E BANNER GATEWAY DRIVE, GILBERT, AZ 85234(480) 256-6444(480) 256-4734 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 14, 2025, Nov 22, 2023 (2 updates tracked since 2023).

About Jackeline Lucia Sepulveda Pa NPPES

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

JACKELINE LUCIA SEPULVEDA PA (NPI 1790424968) is an individual physician assistant in Gilbert, Arizona, licensed in Arizona (9903) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1790424968
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJACKELINE LUCIA SEPULVEDACredential: PA
Location Address2946 E BANNER GATEWAY DRIVEGilbert, AZ 85234-2165
Mailing Address2940 E Banner Gateway Drive, Suite 450Gilbert, AZ 85234-2165 · (480) 256-6444 · Fax (480) 256-4734
Fax(480) 256-4734
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJune 3, 2022
Last NPPES UpdateFebruary 14, 20252 updates tracked since enumeration
NPPES CertifiedNovember 22, 2023
NPI 1790424968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in AZ · 9903
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2946 E BANNER GATEWAY DRIVE, Gilbert, AZ 85234

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

Jackeline Lucia Sepulveda Pa 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 ID1052760766
PECOS Enrollment IDI20231206003387
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 85234 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
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 19

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

Urology
2946 E BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Nurse Practitioner (Family)
2946 E BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Obstetrics & Gynecology (Gynecologic Oncology)
2946 E BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Physician Assistant
2946 E BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Physician Assistant
2946 E BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Radiology (Diagnostic Radiology)
2946 E BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Radiology (Diagnostic Radiology)
2946 E BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Internal Medicine (Gastroenterology)
2946 E BANNER GATEWAY DRIVE
GILBERT, AZ 85234

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 Jackeline Sepulveda's NPI number?

The NPI number for Jackeline Sepulveda is 1790424968. It was assigned to this individual provider in the NPPES registry on June 3, 2022.

Where is Jackeline Sepulveda located?

Jackeline Sepulveda practices at 2946 E Banner Gateway Drive, Gilbert, AZ 85234. The listed phone number is (480) 256-6444.

What is Jackeline Sepulveda's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jackeline Sepulveda enrolled in Medicare?

Yes. Jackeline Sepulveda 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 Jackeline Sepulveda accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Jackeline Sepulveda 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 Jackeline Sepulveda was last updated on February 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.