Jacqueline M Hoogervorst, AG-ACNP - Medicare Nurse Practitioner in Moreno Valley, CA

Jacqueline M Hoogervorst, AG-ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Moreno Valley, California. Her current practice location is 26520 Cactus Ave, Moreno Valley, California. You can reach out to her office (for appointments etc.) via phone at (951) 486-4000.

Jacqueline M Hoogervorst is licensed to practice in California (license number 95024083) 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 1699481887.

Contact Information

Jacqueline M Hoogervorst, AG-ACNP
26520 Cactus Ave,
Moreno Valley, CA 92555-3927
(951) 486-4000
Not Available

Map and Direction




Provider's Profile

Full NameJacqueline M Hoogervorst
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location26520 Cactus Ave, Moreno Valley, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699481887
  • Provider Enumeration Date: 01/30/2023
  • Last Update Date: 01/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1759748478
  • Enrollment ID: I20230612000186

Medical Identifiers

Medical identifiers for Jacqueline M Hoogervorst such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699481887NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC0200XRegistered Nurse - Critical Care Medicine 784279 (California)Secondary
363LA2100XNurse Practitioner - Acute Care 95024083 (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 M Hoogervorst allows following entities to bill medicare on her behalf.
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

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 M Hoogervorst 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 M Hoogervorst, AG-ACNP
33034 Clairette Ct,
Winchester, CA 92596-4523

Ph: () -
Jacqueline M Hoogervorst, AG-ACNP
26520 Cactus Ave,
Moreno Valley, CA 92555-3927

Ph: (951) 486-4000

Reviews and Comments


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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).

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