JAQUELYNN RENATE FLIETSTRA
NPI 1881275402
Marriage & Family Therapist in Murrieta, CA
About Jaquelynn Renate Flietstra NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAQUELYNN RENATE FLIETSTRA (NPI 1881275402) is an individual marriage & family therapist in Murrieta, California, licensed in California (148173) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 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
Jaquelynn Renate Flietstra 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 Reassignment
Medicare enrollment records show Jaquelynn Flietstra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Temecula, CA 92590
- Reassigned Medicare billing, California enrollment
- 117 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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MURRIETA, CA 92562
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 Jaquelynn Flietstra's NPI number?
The NPI number for Jaquelynn Flietstra is 1881275402. It was assigned to this individual provider in the NPPES registry on April 15, 2021. The provider is also known as Jaquelynn Renate Zeeb.
Where is Jaquelynn Flietstra located?
Jaquelynn Flietstra practices at 41880 Kalmia St Ste 115, Murrieta, CA 92562. The listed phone number is (951) 430-3011.
What is Jaquelynn Flietstra's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Jaquelynn Flietstra enrolled in Medicare?
Yes. Jaquelynn Flietstra 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 organization bills Medicare for Jaquelynn Flietstra's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaquelynn Flietstra reassigns Medicare benefits to Rancho Family Medical Group, Inc. (Temecula, CA). The 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 Jaquelynn Flietstra'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 Jaquelynn Flietstra was last updated on October 14, 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.
# Jaquelynn Renate Flietstra · NPI 1881275402
Marriage & Family Therapist provider in Murrieta, California. Individual provider, active in the CMS NPPES registry since April 15, 2021.
## Identity
- **NPI:** 1881275402 (Entity type: Individual)
- **Enumerated:** April 15, 2021
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 148173 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 41880 KALMIA ST STE 115, Murrieta, CA 92562-8835
- **Phone:** (951) 430-3011
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Rancho Family Medical Group, Inc. (NPI 1598791600, Temecula, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 14, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1881275402) · Data from the CMS NPPES public registry.