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JACQUELINE CHANNELL FNP-BC
NPI 1942729173
Nurse Practitioner - Family in San Diego, CA

Active since September 19, 2017PECOS EnrolledAccepts Medicare Assignment
4520 EXECUTIVE DR STE 227, SAN DIEGO, CA 92121(888) 777-1945(805) 413-9099 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 15, 2022, Jul 21, 2022, Sep 19, 2017 (3 updates tracked since 2017).

About Jacqueline Channell Fnp-bc NPPES

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

JACQUELINE CHANNELL FNP-BC (NPI 1942729173) is an individual family provider in San Diego, California, licensed in Florida (ARNP9278612) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and maintains a secondary practice location in Delray Beach.

NPPES Registry Identity

NPI1942729173
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACQUELINE CHANNELLCredential: FNP-BC
Location Address4520 EXECUTIVE DR STE 227San Diego, CA 92121-3020
Mailing Address111 Stone Harbor Way Apt F1Delray Beach, FL 33444-3407 · (561) 445-5761
Phone(888) 777-1945
Fax(805) 413-9099
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 19, 2017
Last NPPES UpdateSeptember 15, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2022
✔ NPI 1942729173 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
License✔ Licensed in FL · ARNP9278612
4520 EXECUTIVE DR STE 227, San Diego, CA 92121
Open in Google Maps ↗

Secondary Practice Location 1

Location 1111 Stone Harbor Way F1Delray Beach, FL 33444 · Phone (561) 445-5761

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 Channell Fnp-bc 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 ID4183968332
PECOS Enrollment IDI20250123003658
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 2

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.

Injection, inclisiran, 1 mg J1306
Inclisiran is an injection administered to lower cholesterol levels. It works by blocking the production of LDL (bad cholesterol) in your liver. This medicine is often used when diet changes and other medications have not been effective.
4,260 services15 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.
32 services23 patients

Hospital Affiliations CMS Care Compare

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

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92121 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.

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 Channell's NPI number?

The NPI number for Jacqueline Channell is 1942729173. It was assigned to this individual provider in the NPPES registry on September 19, 2017.

Where is Jacqueline Channell located?

Jacqueline Channell practices at 4520 Executive Dr Ste 227, San Diego, CA 92121. The listed phone number is (888) 777-1945.

What is Jacqueline Channell's specialty?

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

Is Jacqueline Channell enrolled in Medicare?

Yes. Jacqueline Channell 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.

Is Jacqueline Channell affiliated with any hospitals?

According to CMS data, Jacqueline Channell is affiliated with West Virginia University Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Jacqueline Channell was last updated on September 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.