JACQUELINE MARIE FERDOWSALI (A.G.A.C.N.P) – Nurse Practitioner, NPI 1215278759

JACQUELINE MARIE FERDOWSALI (A.G.A.C.N.P) is a healthcare provider. based in Carson city, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials A.G.A.C.N.P. They hold a License No. APN001499 (NV). The NPI Number for JACQUELINE MARIE FERDOWSALI (A.G.A.C.N.P) is 1215278759

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
JACQUELINE MARIE FERDOWSALI (A.G.A.C.N.P)
NPI
1215278759
Phone
(775) 445-7650
Address
1470 Medical Pkwy
Enumeration Date
7 March 2013
Last Update Date
7 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2013 (13 years ago)
PAC ID
7810135282
Group Practice PAC ID
8820178288
Professional Enrollment ID
I20190724002428
Address ID
WA986641965VA505XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:13State licenses:3Digital endpointsOther names

2,947 NURSE PRACTITIONER in NV

Provider Addresses for JACQUELINE MARIE FERDOWSALI (A.G.A.C.N.P)

  • 1470 Medical Pkwy

    Suite 160

    Carson City, NV 897034648

    Phone: (775) 445-7650

    Fax: (775) 882-4206

    Type: Location

  • PO BOX 4390

    CARSON CITY, NV 897024390

    Phone: (775) 445-7650

    Fax: (775) 882-4206

    Type: Mailing

  • 200 NE MOTHER JOSEPH PL STE 330

    VANCOUVER, WA 986643288

    Phone: (360) 514-2990

    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: 2025-04-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20130523000564INurse PractitionerNVTBD
I20190724002428INurse PractitionerWATBD
I20201210002969INurse PractitionerMTTBD
I20240605002467INurse PractitionerUTTBD
I20250409002068INurse PractitionerORTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1815$0
View full utilization report →

Insurance plans in this area (ZIP 89703)

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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: 8820178288View full group profile
NameSpecialtyState
O P H T H A L M O L O G YWA
Physician AssistantWA
General Surgery, Thoracic SurgeryWA
General Surgery, Thoracic SurgeryWA
Family PracticeWA
O P H T H A L M O L O G YWA
O B S T E T R I C S/ G Y N E C O L O G YWA
Physician AssistantWA
Medical OncologyWA
Nephrology, Internal MedicineWA

Reviews

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Frequently asked questions

What federal number belongs to JACQUELINE MARIE FERDOWSALI (A.G.A.C.N.P)?
The federal identifier for JACQUELINE MARIE FERDOWSALI (A.G.A.C.N.P) is NPI 1215278759.
Is JACQUELINE MARIE FERDOWSALI (A.G.A.C.N.P) active in the national directory?
JACQUELINE MARIE FERDOWSALI (A.G.A.C.N.P)'s public NPI profile is in an active state.
Can you summarize JACQUELINE MARIE FERDOWSALI (A.G.A.C.N.P)'s specialty in plain language?
Clinically, the directory lists JACQUELINE MARIE FERDOWSALI (A.G.A.C.N.P) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does JACQUELINE MARIE FERDOWSALI (A.G.A.C.N.P) practice in Nevada?
You will see Carson City, Nevada on file for JACQUELINE MARIE FERDOWSALI (A.G.A.C.N.P) alongside any extra practice locations.
What if Carson City, Nevada seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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