JACELIS BLAND PMHNP
NPI 1801522859
Nurse Practitioner - Psychiatric/Mental Health in San Marcos, CA

Q: What is Jacelis Bland's NPI number?

The NPI number for Jacelis Bland is 1801522859. It was assigned to this individual provider in the NPPES registry on July 30, 2022.

Q: What is Jacelis Bland's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jacelis Bland was last updated on July 30, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 30, 2022PECOS EnrolledAccepts Medicare Assignment

150 VALPREDA RD, SAN MARCOS, CA 92069(760) 736-6767 Get Directions Write a Review

NPPES record last updated: July 30, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jacelis Bland Pmhnp NPPES

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

JACELIS BLAND PMHNP (NPI 1801522859) is an individual psychiatric/mental health provider in San Marcos, California, licensed in Michigan (4704388796) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1801522859

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJACELIS BLANDCredential: PMHNP

Location Address150 VALPREDA RDSan Marcos, CA 92069-2973

Mailing Address150 Valpreda RdSan Marcos, CA 92069-2973 · (760) 736-6767

Phone(760) 736-6767

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 30, 2022

NPPES CertifiedJuly 30, 2022

✔ NPI 1801522859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MI · 4704388796

150 VALPREDA RD, San Marcos, CA 92069

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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

Jacelis Bland Pmhnp 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 ID648625871

PECOS Enrollment IDI20231009001469

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 92069 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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.

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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.

DR. GREGORY M SMITH

Dentist (General Practice)