JACKLINE WANGA GATES – Family Nurse Practitioner, NPI 1801432216
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,538 NURSE PRACTITIONER in CA
Provider Addresses for JACKLINE WANGA GATES
1000 VALE TERRACE DR
VISTA, CA 920845218
Phone: (760) 631-5000
Type: Mailing
30195 FRASER DR
LAKE ELSINORE, CA 925307006
Phone: (951) 252-2720
Type: Location
46287 SAWTOOTH LN
TEMECULA, CA 925924145
Phone: (404) 274-4525
Type: Mailing
31700 TEMECULA PKWY
TEMECULA, CA 925925896
Phone: (951) 331-2200
Type: Location
1275 HIGHWAY 54 W STE 201
FAYETTEVILLE, GA 302144538
Phone: (770) 461-3776
Fax: (770) 461-3565
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-09-07
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220907001656 | I | Nurse Practitioner | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 196 | 25 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 138 | 123 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 107 | 100 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 106 | 53 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 100 | 23 | $0 |
Insurance plans in this area (ZIP 92084)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | GA | |
| Nurse Practitioner | GA | |
| Emergency Medicine | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | FL | |
| - | GA | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| Family Practice | NJ | |
| Physician Assistant | GA |
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