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Active NPI 1598336828 Individual Practitioner Female Practitioner

Jacquelyn Smith-Douglas , FNP

Nurse Practitioner • Costa Mesa, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jacquelyn Smith-Douglas, FNP is a certified Nurse Practitioner practicing in Costa Mesa, CA. With approximately 7 years of clinical experience since completing medical education in 2019, Jacquelyn Smith-Douglas delivers high-quality medical care to the local community at 150 PAULARINO AVE.

Jacquelyn Smith-Douglas maintains professional affiliations with Onyx Medical Group Inc, Vital Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include detection test by immunoassay technique for severe acute respiratory syndrome coronavirus. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

150 Paularino Ave

Costa Mesa, CA 926263301

Telephone 9495563433
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Costa Mesa, CA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -5.6 yrs vs City Avg
City Avg: 12.6 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
22 Specialists

Practicing in Costa Mesa, CA (8378 Statewide)

Telehealth Adoption Rate
4.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
70.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith-Douglas (7 Years) 7 Yrs
Costa Mesa Specialty Average (12.6 Years) 12.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
192 186 $120.00 $35.33

Medical Specialties & State Licenses

CMS Verified: 2022-12-29
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA F07210327

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Vital Medical Group Inc

1314 W Glenoaks Blvd, Glendale, CA 912014890

Phone: 8183965158

Onyx Medical Group Inc

1451 Rimpau Ave, Corona, CA 928797522

Phone: 9513460041

Secondary Practice Locations

8850 Valley View St

Buena Park, CA 906203562

Phone: 3232510477

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Shannon Helmle , LMFT

Marriage & Family Therapist

NPI 1215113501

Licensed Marriage and Family Therapist

Cynthia Tadeo

Nurse Practitioner - Family

NPI 1316532831
Dr. S. Louie , PhD

Psychologist - Clinical

NPI 1417280686

Doctor of Philosophy (Ph.D.)

Dr. Alan Levy , PhD

Psychologist - Clinical

NPI 1598956526

Doctor of Philosophy (Ph.D.)

Dr. Tim Ramirez , DC

Chiropractor - Nutrition

NPI 1790025823

Doctor of Chiropractic

Ellen Miller , LMFT

Marriage & Family Therapist

NPI 1922058882

Licensed Marriage and Family Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location December 29, 2022

Registered at 150 PAULARINO AVE, COSTA MESA, CA 926263301 (Tel: 9495563433)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2022

Nurse Practitioner (License #F07210327 in CA)

📍
Updated Practice Location September 01, 2021

Registered at 8850 VALLEY VIEW ST, BUENA PARK, CA 906203562 (Tel: 3232510477)

NPI Profile Active July 07, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 07, 2021

Registered at 8441 RENWICK DR, CORONA, CA 928835931

📍
Updated Business Mailing Address July 07, 2021

Registered at 8441 RENWICK DR, CORONA, CA 928835931 (Tel: 3232510477)

👤
Provider Name / Credentials Updated July 07, 2021

Recorded as JACQUELYN SMITH-DOUGLAS, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2021

Registered Nurse (License #F07210327 in CA)

🟢
Initial NPI Registration & Enumeration July 07, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598336828
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2021
Last Update: December 29, 2022
Sole Proprietor: Yes

Mailing Address

8441 Renwick Dr

Corona, CA 928835931

Phone: 3232510477

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.