MRS. JACKLINE SHINYONYA SUTHERLAND NP
NPI 1861882029
Nurse Practitioner - Family in Palmdale, CA

Q: What is Jackline Sutherland's NPI number?

The NPI number for Jackline Sutherland is 1861882029. It was assigned to this individual provider in the NPPES registry on January 27, 2015.

Q: What is Jackline Sutherland's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since January 27, 2015PECOS EnrolledAccepts Medicare Assignment

320 E PALMDALE BLVD, PALMDALE, CA 93550(661) 526-4766 Get Directions Write a Review

NPPES record last updated: January 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 26, 2021, Mar 17, 2018, Jan 18, 2018 and 1 more (4 updates tracked since 2017).

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About Mrs. Jackline Shinyonya Sutherland Np NPPES

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

MRS. JACKLINE SHINYONYA SUTHERLAND NP (NPI 1861882029) is an individual family provider in Palmdale, California, licensed in California (95011529) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lancaster, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1861882029

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. JACKLINE SHINYONYA SUTHERLANDCredential: NP

Location Address320 E PALMDALE BLVDPalmdale, CA 93550-4598

Mailing Address3610 Tournament DrPalmdale, CA 93551-5635 · (661) 526-4766

Phone(661) 526-4766

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateJanuary 27, 2015

Last NPPES UpdateJanuary 26, 20214 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2021

✔ NPI 1861882029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in CA · 95011529✔ Licensed in MN · R2068891✔ Licensed in MN · CNP 3442

320 E PALMDALE BLVD, Palmdale, CA 93550

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Secondary Practice Location 1

Location 1907 W Lancaster BlvdLancaster, CA 93534-2305 · Phone (818) 654-3887 · Fax (818) 975-5061

Other Identifiers 1

Medicaid1537966505CA

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

Mrs. Jackline Shinyonya Sutherland Np 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 ID1153648217

PECOS Enrollment IDI20200603000537

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 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

165 services123 patients

Telephone medical discussion provided by nonphysician professional, 11-20 minutes 98967

This service involves a nonphysician professional, like a nurse or therapist, discussing your health concerns over the phone for 11-20 minutes. It's a convenient way to address questions or issues without needing to visit the clinic.

34 services29 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

20 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93550 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier12 claims12 services$67.53 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$30.40 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

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