Jacqueline Kristina Dumagpi, FNP-C - Medicare Nurse Practitioner in Surprise, AZ

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Jacqueline Kristina Dumagpi, FNP-C is a medicare enrolled "Family Medicine" physician in Surprise, Arizona. She graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Bhsm Rehabilitation Llc, Banner Primary Care Physicians Arizona Llc and her current practice location is 13995 W Statler Blvd, Surprise, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 478-3100.

Jacqueline Kristina Dumagpi is licensed to practice in Arizona (license number 246758) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023622867.

Contact Information

Jacqueline Kristina Dumagpi, FNP-C
13995 W Statler Blvd,
Surprise, AZ 85374-5501
(623) 478-3100
Not Available

Map and Direction




Physician's Profile

Full NameJacqueline Kristina Dumagpi
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location13995 W Statler Blvd, Surprise, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacqueline Kristina Dumagpi graduated from medical school in 2020
  NPI Data:
  • NPI Number: 1023622867
  • Provider Enumeration Date: 08/31/2020
  • Last Update Date: 08/31/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6507126018
  • Enrollment ID: I20201013001759

Medical Identifiers

Medical identifiers for Jacqueline Kristina Dumagpi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023622867NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 246758 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Banner Del E. Webb Medical CenterSun city west, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bhsm Rehabilitation Llc20627731381355
Banner Primary Care Physicians Arizona Llc6406020155177

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacqueline Kristina Dumagpi allows following entities to bill medicare on her behalf.
Entity NameBanner Primary Care Physicians Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417238908
PECOS PAC ID: 6406020155
Enrollment ID: O20111115000898

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Kristina Dumagpi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacqueline Kristina Dumagpi, FNP-C
3407 N 23rd Dr,
Phoenix, AZ 85015-5421

Ph: () -		Jacqueline Kristina Dumagpi, FNP-C
13995 W Statler Blvd,
Surprise, AZ 85374-5501

Ph: (623) 478-3100

Reviews and Comments


Family Medicine Doctors in Surprise, AZ

Dr. Dapinderjit Singh Gill, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 15351 W Bell Rd, Surprise, AZ 85374
Phone: 623-583-3001    
Vicki Denise Copeland, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 15351 W Bell Rd, Surprise, AZ 85374
Phone: 877-809-5092    Fax: 623-815-9253
Neena K Uppal, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 14674 W Mountain View Blvd # 200, Surprise, AZ 85374
Phone: 623-544-6860    Fax: 623-544-6861
Gurvinder Singh Dhaliwal, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 13995 W Statler Blvd Ste 200, Surprise, AZ 85374
Phone: 623-478-3100    Fax: 623-478-3300
Mr. Walter Richard Hadikin, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 14973 W Bell Rd, Ste #100, Surprise, AZ 85374
Phone: 623-815-2900    Fax: 623-583-1319
Michael Raymond Brady, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 12100 N Dysart Rd Ste 104, Surprise, AZ 85379
Phone: 602-491-0703    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.