Jacqueline Marie Ferdowsali, AGACNP in Vancouver, WA

Jacqueline Marie Ferdowsali, AGACNP is a medicare enrolled "Nurse Practitioner" in Vancouver, Washington. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Peacehealth and her current practice location is 200 Ne Mother Joseph Pl Ste 330, Vancouver, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 514-2990.

Jacqueline Marie Ferdowsali is licensed to practice in Washington (license number AP60879539) 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 1215278759.

Contact Information

	Jacqueline Marie Ferdowsali, AGACNP
	200 Ne Mother Joseph Pl Ste 330, Vancouver, WA 98664-3288
	(360) 514-2990
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacqueline Marie Ferdowsali
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	200 Ne Mother Joseph Pl Ste 330, Vancouver, Washington
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:

Jacqueline Marie Ferdowsali graduated from nursing school in 2016

NPI Data:

NPI Number: 1215278759
Provider Enumeration Date: 03/07/2013
Last Update Date: 04/07/2020

Medicare PECOS Information:

PECOS PAC ID: 7810135282
Enrollment ID: I20190724002428

Medical Identifiers

Medical identifiers for Jacqueline Marie Ferdowsali such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215278759	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	APN001499 (Nevada)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	11330828-4405 (Utah)	Secondary
363L00000X	Nurse Practitioner	AP60879539 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Peacehealth Southwest Medical Center	Vancouver, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Peacehealth	8820178288	169

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 Marie Ferdowsali allows following entities to bill medicare on her behalf.

Entity Name	Peacehealth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609061969 PECOS PAC ID: 8820178288 Enrollment ID: O20080110000429

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 Marie Ferdowsali 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
Jacqueline Marie Ferdowsali, AGACNP Po Box 4390, Carson City, NV 89702-4390 Ph: (775) 445-7650	Jacqueline Marie Ferdowsali, AGACNP 200 Ne Mother Joseph Pl Ste 330, Vancouver, WA 98664-3288 Ph: (360) 514-2990

Reviews and Comments

Nurse Practitioner Nurses in Vancouver, WA

Mrs. Tracy Lynn Clason, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 108 Se 124th Ave, Suite 22, Vancouver, WA 98684 Phone: 360-882-7603 Fax: 360-896-0337
Ms. Mary Louise Kroske, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10500 Ne 86th St, Vancouver, WA 98662 Phone: 425-359-6706 Fax: 369-604-6777
Julie Ann Thompson, FNP-C. PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1601 E 4th Plain Blvd Bldg 11, Vancouver, WA 98661 Phone: 360-696-4061
Shannon Kristine Urban, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16811 Se Mcgillivray Blvd, Vancouver, WA 98683 Phone: 360-735-8100
Mr. Richard Francis Gebhardt, CRNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 Main St, Vancouver, WA 98663 Phone: 360-696-5232 Fax: 360-696-5228
Todd Skenandore, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2529 Ne 139th St Ste 110, Vancouver, WA 98686 Phone: 360-882-2778
Mr. John A Zeier, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 E 33rd St Ste 206, Vancouver, WA 98663 Phone: 360-695-1334 Fax: 360-992-1159

Jacqueline Marie Ferdowsali, AGACNP - Medicare Nurse Practitioner in Vancouver, WA