Jacqueline Wahl, in Marysville, WA - Medicare Nurse Practitioner

Jacqueline Wahl, is a medicare enrolled "Nurse Practitioner" in Marysville, Washington. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Optum Care Washington Pllc and her current practice location is 2901 174th St Ne, Marysville, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 454-1900.

Jacqueline Wahl is licensed to practice in Washington (license number AP61073449) 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 1437774338.

Contact Information

	Jacqueline Wahl,
	2901 174th St Ne, Marysville, WA 98271-4743
	(360) 454-1900
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacqueline Wahl
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	2901 174th St Ne, Marysville, 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 Wahl graduated from nursing school in 2020

NPI Data:

NPI Number: 1437774338
Provider Enumeration Date: 06/16/2020
Last Update Date: 10/24/2025

Medicare PECOS Information:

PECOS PAC ID: 7618392788
Enrollment ID: I20200806001158

Medical Identifiers

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

Identifier	Type	State	Issuer
1437774338	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	AP61073449 (Washington)	Primary
363L00000X	Nurse Practitioner	10022236 (Oregon)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Optum Care Washington Pllc	6406752153	597

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 Wahl allows following entities to bill medicare on her behalf.

Entity Name	The Polyclinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174594634 PECOS PAC ID: 2163328196 Enrollment ID: O20031210000788

Entity Name	Optum Care Washington Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922

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 Wahl 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 Wahl, Po Box 5127, Everett, WA 98206-5127 Ph: (360) 454-1900	Jacqueline Wahl, 2901 174th St Ne, Marysville, WA 98271-4743 Ph: (360) 454-1900

Reviews and Comments

Nurse Practitioner Nurses in Marysville, WA

Mrs. Janet Amenisomi Oladipo, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3955 156th St Ne, Marysville, WA 98271 Phone: 254-939-2100
Haley Anthes, ARNP, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4404 80th St Ne, Marysville, WA 98270 Phone: 360-659-1231
Dorothy Colleen Todd, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4420 76th St Ne, Marysville, WA 98270 Phone: 360-304-8489 Fax: 425-304-8849
Ms. Jamie Lee Crawford, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3955 156th St Ne, Marysville, WA 98271 Phone: 360-651-6400
Teshome Shikesso, NP PSYCH/MENTAL HEAL Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3955 156th St Ne, Marysville, WA 98271 Phone: 360-651-6400
Mary Reckard, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4420 76th St Ne, Marysville, WA 98270 Phone: 360-651-7406
Mrs. Karen Bloom, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1630 Grove St, Marysville, WA 98270 Phone: 360-653-3500 Fax: 360-657-3268

Jacqueline Wahl, - Medicare Nurse Practitioner in Marysville, WA