JACQUELINE RUBYLEE GORZYNSKI MD
NPI 1861073074
Family Medicine in Shelton, WA

Active since April 19, 2021PECOS EnrolledAccepts Medicare Assignment
1701 N 13TH ST, SHELTON, WA 98584(360) 426-2653(888) 985-0681 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 2, 2024, Apr 19, 2021 (2 updates tracked since 2021).

About Jacqueline Rubylee Gorzynski Md NPPES

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

JACQUELINE RUBYLEE GORZYNSKI MD (NPI 1861073074) is an individual family medicine provider in Shelton, Washington, licensed in Washington (MD61443622) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Providence St Peter Hospital, and is a graduate of University Of Washington School Of Medicine (2021).

NPPES Registry Identity

NPI1861073074
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJACQUELINE RUBYLEE GORZYNSKICredential: MD
Location Address1701 N 13TH STShelton, WA 98584-2077
Mailing AddressPo Box 1668Shelton, WA 98584-5001 · (604) 279-5493 · Fax (360) 427-3661
Fax(888) 985-0681
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2021
Enumeration DateApril 19, 2021
Last NPPES UpdateAugust 2, 20242 updates tracked since enumeration
NPPES CertifiedAugust 2, 2024
NPI 1861073074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · MD61443622
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.

1701 N 13TH ST, Shelton, WA 98584

Other Names 1

Former Name (1)Jacqueline Rubylee Vaughn

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 Rubylee Gorzynski Md 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 ID2567853088
PECOS Enrollment IDI20240626001922
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.

Areas of Expertise CMS Part B claims

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
28 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence St Peter Hospital

Acute Care Hospitals · Olympia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500024
Location413 Lilly Road NEOlympia, WA 98506 · Thurston County
Emergency services Birthing friendly

Mason General Hospital & Family Of Clinics

Critical Access Hospitals · Shelton, WA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501336
Location901 Mt View DriveShelton, WA 98584 · Mason County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98584 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Family Medicine
1701 N 13TH ST
SHELTON, WA 98584
Ophthalmology
1701 N 13TH ST
SHELTON, WA 98584
Nurse Practitioner (Pediatrics)
1701 N 13TH ST
SHELTON, WA 98584
Surgery
1701 N 13TH ST
SHELTON, WA 98584
Family Medicine
1701 N 13TH ST
SHELTON, WA 98584
Internal Medicine
1701 N 13TH ST
SHELTON, WA 98584
Pediatrics
1701 N 13TH ST
SHELTON, WA 98584
Physician Assistant
1701 N 13TH ST
SHELTON, WA 98584

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 Gorzynski's NPI number?

The NPI number for Jacqueline Gorzynski is 1861073074. It was assigned to this individual provider in the NPPES registry on April 19, 2021. The provider is also known as Jacqueline Rubylee Vaughn.

Where is Jacqueline Gorzynski located?

Jacqueline Gorzynski practices at 1701 N 13th St, Shelton, WA 98584. The listed phone number is (360) 426-2653.

What is Jacqueline Gorzynski's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jacqueline Gorzynski enrolled in Medicare?

Yes. Jacqueline Gorzynski 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 Gorzynski accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jacqueline Gorzynski 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.

Is Jacqueline Gorzynski affiliated with any hospitals?

According to CMS data, Jacqueline Gorzynski is affiliated with Providence St Peter Hospital and Mason General Hospital & Family Of Clinics.

When was this NPI record last updated?

The NPPES record for Jacqueline Gorzynski was last updated on August 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.