JAECELLE GUADIZ GALENIECE (MD) – Family Medicine Physician, NPI 1013321389

JAECELLE GUADIZ GALENIECE (MD) is a healthcare provider. based in Winter park, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD188938 (OR). The NPI Number for JAECELLE GUADIZ GALENIECE (MD) is 1013321389

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
JAECELLE GUADIZ GALENIECE (MD)
NPI
1013321389
Phone
(407) 646-7070
Address
133 Benmore Dr
Enumeration Date
16 June 2014
Last Update Date
2 October 2020

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5032156480
Graduation Year
2013 (13 years ago)
PAC ID
2860763273
Group Practice PAC ID
0648183608
Professional Enrollment ID
I20181021000011
Address ID
OR972132981PO5050XSTXX402
Telehealth
Yes

Contacts

Secure Messaging
jguadizgaleniece960751@oc.providencedirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

6,722 FAMILY PRACTICE in FL

Provider Addresses for JAECELLE GUADIZ GALENIECE (MD)

  • 133 Benmore Dr

    Suite 200

    Winter Park, FL 327924111

    Phone: (407) 646-7070

    Fax: (407) 646-7747

    Type: Location

  • PO BOX 3158

    PORTLAND, OR 972083158

    Phone:

    Type: Mailing

  • 1003 PROVIDENCE DR STE 110

    NEWBERG, OR 97132

    Phone: (503) 537-5900

    Fax: (503) 537-5959

    Type: Location

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: 2018-10-21

PECOS data refreshed: 2026-05-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181021000011IFamily PracticeORTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes12066$0
99213Established patient office or other outpatient visit, 20-29 minutes1813$0
99215Established patient office or other outpatient visit, 40-54 minutes1818$0
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use1515$0
G0009Administration of pneumococcal vaccine1515$0
View full utilization report →

Insurance plans in this area (ZIP 32792)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648183608View full group profile
NameSpecialtyState
Internal MedicineOR
Physician AssistantOR
-OR
N E U R O L O G YOR
Nurse PractitionerOR
Infectious Disease, Internal MedicineOR
Thoracic SurgeryOR
Nurse PractitionerOR
Physician AssistantWA
Clinical PsychologistOR

Reviews

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Frequently asked questions

What is the 10-digit NPI for JAECELLE GUADIZ GALENIECE (MD)?
JAECELLE GUADIZ GALENIECE (MD) — NPI 1013321389 — is the standard way to identify this listing.
Is JAECELLE GUADIZ GALENIECE (MD) still practicing?
JAECELLE GUADIZ GALENIECE (MD) is currently listed as active in the public NPI registry.
What healthcare role does JAECELLE GUADIZ GALENIECE (MD) hold?
Scheduling teams often label JAECELLE GUADIZ GALENIECE (MD) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does JAECELLE GUADIZ GALENIECE (MD) serve?
JAECELLE GUADIZ GALENIECE (MD)'s listing highlights Winter Park, Florida; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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