DR. JACQUELINE MICHELLE WONG (M.D.) – Emergency Medicine Physician, NPI 1083041701

DR. JACQUELINE MICHELLE WONG (M.D.) is a healthcare provider. based in Centralia, Washington. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 60789589 (WA). The NPI Number for DR. JACQUELINE MICHELLE WONG (M.D.) is 1083041701

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACQUELINE MICHELLE WONG (M.D.)
NPI
1083041701
Phone
(360) 330-8516
Address
914 S SCHEUBER RD
Enumeration Date
27 September 2013
Last Update Date
2 April 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3607345400
Graduation Year
2013 (13 years ago)
PAC ID
2860787744
Group Practice PAC ID
3476462334
Professional Enrollment ID
I20171208001145
Address ID
WA982251851BE2901XPKWY300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,206 EMERGENCY MEDICINE in WA

Provider Addresses for DR. JACQUELINE MICHELLE WONG (M.D.)

  • 914 S SCHEUBER RD

    CENTRALIA, WA 98531

    Phone: (360) 330-8516

    Mailing address matches the actual address.

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 $38.

Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.

Last reported payment date: 2023-10-11 • Largest payer in this snapshot: CSL Behring ($38).

Total Amount

$38

General + Research + Ownership

Payments

1

Total payment records

General Amount

$38

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CSL Behring$38
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: 2017-12-08

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
I20171208001145IEmergency MedicineWATBD

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
99285Emergency department visit with high level of medical decision making393369$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only315298$0
99291Critical care, first 30-74 minutes8080$0
99284Emergency department visit with moderate level of medical decision making6564$0
View full utilization report →

Insurance plans in this area (ZIP 98531)

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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: 3476462334View full group profile
NameSpecialtyState
Emergency MedicineGA
Emergency MedicineMI
Emergency MedicineIN
Family Practice, Emergency MedicineOR
-WA
Emergency MedicineOR
Emergency MedicineWA
-NY
-WA
Emergency MedicineNJ

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. JACQUELINE MICHELLE WONG (M.D.)?
DR. JACQUELINE MICHELLE WONG (M.D.) — NPI 1083041701 — is the standard way to identify this listing.
Is DR. JACQUELINE MICHELLE WONG (M.D.) still practicing?
DR. JACQUELINE MICHELLE WONG (M.D.) is currently listed as active in the public NPI registry.
What is DR. JACQUELINE MICHELLE WONG (M.D.)'s specialty?
The listing groups DR. JACQUELINE MICHELLE WONG (M.D.) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. JACQUELINE MICHELLE WONG (M.D.)?
DR. JACQUELINE MICHELLE WONG (M.D.)'s geographic hint is Centralia, Washington in our summary view.
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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