JACQUELINE WOLOSKI (MD) – Obstetrics & Gynecology Physician, NPI 1023690625

JACQUELINE WOLOSKI (MD) is a healthcare provider. based in Mission, Texas. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. V3460 (TX). The NPI Number for JACQUELINE WOLOSKI (MD) is 1023690625

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
JACQUELINE WOLOSKI (MD)
NPI
1023690625
Phone
(915) 215-8000
Address
404 FRIO ST
Enumeration Date
22 April 2021
Last Update Date
21 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4694558990
Graduation Year
2021 (5 years ago)
PAC ID
6901313782
Group Practice PAC ID
3476808411
Professional Enrollment ID
I20250728000523
Address ID
TX750392471IR6750XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

3,164 OBSTETRICS/GYNECOLOGY in TX

Provider Addresses for JACQUELINE WOLOSKI (MD)

  • 404 FRIO ST

    MISSION, TX 785727455

    Phone: (915) 215-8000

    Type: Mailing

  • 4801 ALBERTA AVE

    EL PASO, TX 799052707

    Phone: (956) 222-8345

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $110.

Total Amount is formed as General ($110) + Research ($0) + Ownership ($0) = $110.

Last reported payment date: 2024-08-15 • Largest payer in this snapshot: Organon LLC ($110).

Total Amount

$110

General + Research + Ownership

Payments

1

Total payment records

General Amount

$110

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Organon LLC$110
View all Open Payments →|Open Payments Risk Radar →

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: 2025-07-28

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
I20250728000523IObstetrics/GynecologyTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78572)

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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: 3476808411View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YLA
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX
Nurse PractitionerTX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX

Reviews

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Frequently asked questions

How is JACQUELINE WOLOSKI (MD) identified in CMS data?
CMS-hosted NPPES data lists JACQUELINE WOLOSKI (MD) with NPI 1023690625.
Is JACQUELINE WOLOSKI (MD) still practicing?
JACQUELINE WOLOSKI (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes JACQUELINE WOLOSKI (MD)?
For research purposes, treat JACQUELINE WOLOSKI (MD) as Obstetrics & Gynecology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for JACQUELINE WOLOSKI (MD)?
JACQUELINE WOLOSKI (MD)'s geographic hint is Mission, Texas in our summary view.
Why does JACQUELINE WOLOSKI (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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