Mrs Jackline Shinyonya Sutherland, NP in Palmdale, CA

Mrs Jackline Shinyonya Sutherland, NP is a medicare enrolled "Nurse Practitioner - Family" in Palmdale, California. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice High Desert Medical Corporation and her current practice location is 320 E Palmdale Blvd, Palmdale, California. You can reach out to her office (for appointments etc.) via phone at (661) 526-4766.

Mrs Jackline Shinyonya Sutherland is licensed to practice in California (license number 95011529) 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 1861882029.

Contact Information

	Mrs Jackline Shinyonya Sutherland, NP
	320 E Palmdale Blvd, Palmdale, CA 93550-4598
	(661) 526-4766
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jackline Shinyonya Sutherland
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	320 E Palmdale Blvd, Palmdale, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Jackline Shinyonya Sutherland graduated from nursing school in 2012

NPI Data:

NPI Number: 1861882029
Provider Enumeration Date: 01/27/2015
Last Update Date: 01/26/2021

Medicare PECOS Information:

PECOS PAC ID: 1153648217
Enrollment ID: I20200603000537

Medical Identifiers

Medical identifiers for Mrs Jackline Shinyonya Sutherland such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861882029	NPI	-	NPPES
1537966505	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	CNP 3442 (Minnesota)	Secondary
363LF0000X	Nurse Practitioner - Family	R2068891 (Minnesota)	Secondary
363LF0000X	Nurse Practitioner - Family	95011529 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
High Desert Medical Corporation	6103730569	49

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. Mrs Jackline Shinyonya Sutherland allows following entities to bill medicare on her behalf.

Entity Name	High Desert Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720196702 PECOS PAC ID: 6103730569 Enrollment ID: O20031118001191

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. Mrs Jackline Shinyonya Sutherland 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 Address	Practice Location Address
Mrs Jackline Shinyonya Sutherland, NP 3610 Tournament Dr, Palmdale, CA 93551-5635 Ph: (661) 526-4766	Mrs Jackline Shinyonya Sutherland, NP 320 E Palmdale Blvd, Palmdale, CA 93550-4598 Ph: (661) 526-4766

Reviews and Comments

Nurse Practitioner Nurses in Palmdale, CA

Wendy Macedo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1011 Lockheed Way, Palmdale, CA 93599 Phone: 661-572-2190 Fax: 661-572-2150
Kent Elias Perttula, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 38600 Medical Center Dr, Palmdale, CA 93551 Phone: 805-338-3282
Dongyon Roh, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 819 Auto Center Dr, Palmdale, CA 93551 Phone: 661-267-6876
Jeff Advincula, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 38460 5th St W Ste D, Palmdale, CA 93551 Phone: 661-273-1614
Mrs. Chrystal Gill, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1120 W Avenue M4, Palmdale, CA 93551 Phone: 818-621-2786
Miss Stacey Jones, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2706 Senna Ln, Palmdale, CA 93551 Phone: 661-526-3945
Mrs. Bobbie Lee Tahar, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 520 W Palmdale Blvd Ste Q, Palmdale, CA 93551 Phone: 661-947-3300

Mrs Jackline Shinyonya Sutherland, NP - Medicare Nurse Practitioner in Palmdale, CA