JACQUELINE JEAN WOLAK FNP, DNP
NPI 1962865519
Nurse Practitioner - Family in San Diego, CA
About Jacqueline Jean Wolak Fnp, Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE JEAN WOLAK FNP, DNP (NPI 1962865519) is an individual family provider in San Diego, California, licensed in California (NP95023785) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacqueline Jean Wolak Fnp, Dnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92123 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92123
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 Wolak's NPI number?
The NPI number for Jacqueline Wolak is 1962865519. It was assigned to this individual provider in the NPPES registry on March 31, 2016.
Where is Jacqueline Wolak located?
Jacqueline Wolak practices at 7910 Frost St, San Diego, CA 92123. The listed phone number is (858) 966-8574.
What is Jacqueline Wolak's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jacqueline Wolak enrolled in Medicare?
Yes. Jacqueline Wolak is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jacqueline Wolak was last updated on March 14, 2023. 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.
# Jacqueline Jean Wolak, FNP, DNP · NPI 1962865519
Family physician in San Diego, California. Individual provider, active in the CMS NPPES registry since March 31, 2016.
## Identity
- **NPI:** 1962865519 (Entity type: Individual)
- **Enumerated:** March 31, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** NP95023785 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 7910 FROST ST, San Diego, CA 92123-2771
- **Phone:** (858) 966-8574
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 14, 2023
- **Other identifiers:** Other 041408764 (IL); Other 209014197 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1962865519) · Data from the CMS NPPES public registry.