Jacqueline Adriana Vera, RN - Medicare Nurse Practitioner in Seattle, WA

  1. Home
  2. Nurse Practitioner
  3. WA
  4. Seattle
Jacqueline Adriana Vera, RN is a medicare enrolled "Nurse Practitioner - Family" in Seattle, Washington. Her current practice location is 9709 3rd Ave Ne, Seattle, Washington. You can reach out to her office (for appointments etc.) via phone at (206) 329-1760.

Jacqueline Adriana Vera is licensed to practice in Washington (license number AP61336783) 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 1033704598.

Contact Information

Jacqueline Adriana Vera, RN
9709 3rd Ave Ne,
Seattle, WA 98115-2062
(206) 329-1760
Not Available

Map and Direction




Provider's Profile

Full NameJacqueline Adriana Vera
GenderFemale
SpecialityNurse Practitioner - Family
Location9709 3rd Ave Ne, Seattle, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033704598
  • Provider Enumeration Date: 03/06/2021
  • Last Update Date: 03/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0042696163
  • Enrollment ID: I20220927002889

Medical Identifiers

Medical identifiers for Jacqueline Adriana Vera such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033704598NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN61311846 (Washington)Secondary
163WA2000XRegistered Nurse - Administrator 903295 (Texas)Secondary
363LF0000XNurse Practitioner - Family AP61336783 (Washington)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. Jacqueline Adriana Vera allows following entities to bill medicare on her behalf.
Entity NameThe Polyclinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174594634
PECOS PAC ID: 2163328196
Enrollment ID: O20031210000788
Entity NameThe Everett Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831186766
PECOS PAC ID: 6406752153
Enrollment ID: O20031211000922
Entity NameInternational Community Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376659151
PECOS PAC ID: 5799695672
Enrollment ID: O20040301000204

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 Adriana Vera 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 Adriana Vera, RN
1145 Broadway,
Seattle, WA 98122-4201

Ph: (206) 860-5414		Jacqueline Adriana Vera, RN
9709 3rd Ave Ne,
Seattle, WA 98115-2062

Ph: (206) 329-1760

Reviews and Comments


Nurse Practitioner Nurses in Seattle, WA

Mrs. Joanne Lynn Osetsky, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 550 17th Ave, Ste 110, Seattle, WA 98122
Phone: 206-320-3470    Fax: 206-320-3471
Sandra K Walker, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 325 9th Ave, Seattle, WA 98104
Phone: 206-598-0502    Fax: 206-598-0516
Ms. Jennifer Patano, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4800 Sand Point Way Ne, Ms O.7.720, Seattle, WA 98105
Phone: 206-987-8949    Fax: 206-987-8943
Mrs. Dominique Michelle Well, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4715 42nd Ave Sw, Seattle, WA 98116
Phone: 206-265-3642    
Mrs. Susan L Holtzclaw, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4800 Sand Point Way Ne, Mailstop T-2108, Seattle, WA 98105
Phone: 206-987-5691    
Dr. Kaitlin Michelle Brasier, D.N.P., A.R.N.P., RN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1525 4th Ave, Suite 300, Seattle, WA 98101
Phone: 206-838-6856    Fax: 206-838-3085
Melissa Yen-ching Lo, DNP, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 825 Eastlake Ave E, Seattle, WA 98109
Phone: 206-861-3396    

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.