Jacqueline Jiaqi Chan, PMHNP - Medicare Nurse Practitioner in Claremont, CA

  1. Home
  2. Nurse Practitioner
  3. CA
  4. Claremont
Jacqueline Jiaqi Chan, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Claremont, California. Her current practice location is 675 W Foothill Blvd Ste 200, Claremont, California. You can reach out to her office (for appointments etc.) via phone at (925) 282-1778.

Jacqueline Jiaqi Chan is licensed to practice in California (license number 95025416) 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 1740988120.

Contact Information

Jacqueline Jiaqi Chan, PMHNP
675 W Foothill Blvd Ste 200,
Claremont, CA 91711-3475
(925) 282-1778
(415) 296-5299

Map and Direction




Provider's Profile

Full NameJacqueline Jiaqi Chan
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location675 W Foothill Blvd Ste 200, Claremont, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740988120
  • Provider Enumeration Date: 02/16/2023
  • Last Update Date: 05/16/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1658730585
  • Enrollment ID: I20230821003857

Medical Identifiers

Medical identifiers for Jacqueline Jiaqi Chan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740988120NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 95126081 (California)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 95025416 (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. Jacqueline Jiaqi Chan allows following entities to bill medicare on her behalf.
Entity NameAffiliated Psychological Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750384350
PECOS PAC ID: 3779561378
Enrollment ID: O20040826001246
Entity NamePacific Coast Psychiatric Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023125465
PECOS PAC ID: 2567469174
Enrollment ID: O20061024000383
Entity NameEhab Yacoub Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417373713
PECOS PAC ID: 5092099523
Enrollment ID: O20170301002071

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 Jiaqi Chan 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 Jiaqi Chan, PMHNP
675 W Foothill Blvd Ste 200,
Claremont, CA 91711-3475

Ph: (925) 282-1778		Jacqueline Jiaqi Chan, PMHNP
675 W Foothill Blvd Ste 200,
Claremont, CA 91711-3475

Ph: (925) 282-1778

Reviews and Comments


Nurse Practitioner Nurses in Claremont, CA

Ms. Alexandra Jordan Bandy, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 530 W. Bonita Ave, Claremont, CA 91711
Phone: 757-784-4830    
Janae Monique Harris,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1601 Monte Vista Ave Ste 100, Claremont, CA 91711
Phone: 909-630-7938    Fax: 909-946-0211
Christine Jennifer Knapp-phillips, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 757 N College Ave, Claremont, CA 91711
Phone: 909-607-3308    
Mr. Miguel Ortega, MSN, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 220 S Indian Hill Blvd Ste D, Claremont, CA 91711
Phone: 818-918-0548    
Tanya Nageotte, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4549 Liveoak Dr, Claremont, CA 91711
Phone: 562-260-6449    
Ms. Norma Coyne, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 173 Brown Dr, Claremont, CA 91711
Phone: 909-267-8368    
Sahil Sharma,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 995 W Foothill Blvd, Claremont, CA 91711
Phone: 909-399-1900    

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.