JACQULYNE HELENE SYLVIA WYNNE
NPI 1861844367
Family Medicine in Sacramento, CA
About Jacqulyne Helene Sylvia Wynne NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQULYNE HELENE SYLVIA WYNNE (NPI 1861844367) is an individual family medicine provider in Sacramento, California, licensed in California (19051) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sacramento, and is a graduate of At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa (2018).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jacqulyne Helene Sylvia Wynne 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jacqulyne Sylvia Wynne reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sacramento, CA 95816
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Sutter Valley Medical Foundation
- 3,056 clinicians in this Medicare group
Royal Oaks, CA 95076
- Reassigned Medicare billing, California enrollment
- 65 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95815 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SACRAMENTO, CA 95815
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 Jacqulyne Sylvia Wynne's NPI number?
The NPI number for Jacqulyne Sylvia Wynne is 1861844367. It was assigned to this individual provider in the NPPES registry on July 7, 2016. The provider is also known as Jacqulyne Helene Sylvia Do.
Where is Jacqulyne Sylvia Wynne located?
Jacqulyne Sylvia Wynne practices at 965 El Camino Ave, Sacramento, CA 95815. The listed phone number is (916) 642-1867.
What is Jacqulyne Sylvia Wynne's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jacqulyne Sylvia Wynne enrolled in Medicare?
Yes. Jacqulyne Sylvia Wynne 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.
Which organizations bill Medicare for Jacqulyne Sylvia Wynne's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqulyne Sylvia Wynne reassigns Medicare benefits to 2 organizations: Sutter Medical Foundation (Sacramento, CA) and Clinica De Salud Del Valle De Salinas (Royal Oaks, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqulyne Sylvia Wynne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jacqulyne Sylvia Wynne was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jacqulyne Helene Sylvia Wynne · NPI 1861844367
Family Medicine physician in Sacramento, California. Individual provider, active in the CMS NPPES registry since July 7, 2016.
## Identity
- **NPI:** 1861844367 (Entity type: Individual)
- **Enumerated:** July 7, 2016
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 19051 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 965 EL CAMINO AVE, Sacramento, CA 95815-2530
- **Phone:** (916) 642-1867
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Sutter Medical Foundation (NPI 1942524095, Sacramento, CA); Clinica De Salud Del Valle De Salinas (NPI 1003173279, Royal Oaks, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa, class of 2018
## Record status
- **NPPES last updated:** October 28, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1861844367) · Data from the CMS NPPES public registry.