Jami Van Der Wielen Zelaya, PNP - Medicare Nurse Practitioner in Claremont, CA

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Jami Van Der Wielen Zelaya, PNP is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Claremont, California. Her current practice location is 673 Huron Pl, Claremont, California. You can reach out to her office (for appointments etc.) via phone at (909) 525-0039.

Jami Van Der Wielen Zelaya is licensed to practice in California (license number 21469) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417222027.

Contact Information

Jami Van Der Wielen Zelaya, PNP
673 Huron Pl,
Claremont, CA 91711-2600
(909) 525-0039
Not Available

Map and Direction




Physician's Profile

Full NameJami Van Der Wielen Zelaya
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location673 Huron Pl, Claremont, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417222027
  • Provider Enumeration Date: 03/14/2012
  • Last Update Date: 08/16/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6305106287
  • Enrollment ID: I20180214002470

Medical Identifiers

Medical identifiers for Jami Van Der Wielen Zelaya such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417222027NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207LP3000XAnesthesiology - Pediatric Anesthesiology NP21469 (California)Secondary
363LP0200XNurse Practitioner - Pediatrics 21469 (California)Primary

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. Jami Van Der Wielen Zelaya allows following entities to bill medicare on her behalf.
Entity NameChildrens Hospital Los Angeles Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265530653
PECOS PAC ID: 0143126920
Enrollment ID: O20031211000522
Entity NameFaculty Physicians And Surgeons Of Llusm
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205009917
PECOS PAC ID: 1153227814
Enrollment ID: O20031211000981
Entity NameFaculty Physicians And Surgeons Of Llusm
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508255175
PECOS PAC ID: 1153227814
Enrollment ID: O20160216002196

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. Jami Van Der Wielen Zelaya 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
Jami Van Der Wielen Zelaya, PNP
3701 Wilshire Blvd Ste 600,
Los Angeles, CA 90010-2814

Ph: (323) 361-3550		Jami Van Der Wielen Zelaya, PNP
673 Huron Pl,
Claremont, CA 91711-2600

Ph: (909) 525-0039

Reviews and Comments



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.