DR. JACQUELINE Y WONG (MD) – Family Medicine Physician, NPI 1184841710

DR. JACQUELINE Y WONG (MD) is a healthcare provider. based in Seattle, Washington. specializing in FAMILY PRACTICE, ADDICTION MEDICINE. They hold the professional credentials MD. They hold a License No. ML20008814 (WA). The NPI Number for DR. JACQUELINE Y WONG (MD) is 1184841710

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACQUELINE Y WONG (MD)
NPI
1184841710
Phone
(206) 320-2484
Address
550 16TH AVE
Enumeration Date
18 April 2007
Last Update Date
29 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2063866000
Graduation Year
2009 (17 years ago)
PAC ID
2860546306
Group Practice PAC ID
4183522931
Professional Enrollment ID
I20090818000199
Address ID
WA981224379SE747XXBROA200

Contacts

Secure Messaging
jwong1043660@wm.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

4,141 FAMILY PRACTICE in WA

Provider Addresses for DR. JACQUELINE Y WONG (MD)

  • 550 16TH AVE

    #100

    SEATTLE, WA 981225699

    Phone: (206) 320-2484

    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 2 Open Payments records for all available years, with a total value of $50.

Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.

Last reported payment date: 2024-08-29 • Largest payer in this snapshot: AIMMUNE THERAPEUTICS, INC. ($50).

Total Amount

$50

General + Research + Ownership

Payments

2

Total payment records

General Amount

$50

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-29

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2009-08-18

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
I20090818000199IFamily PracticeWATBD

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 minutes1916$0
99213Established patient office or other outpatient visit, 20-29 minutes1513$0
View full utilization report →

Insurance plans in this area (ZIP 98122)

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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: 4183522931View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

Is there an official ID for DR. JACQUELINE Y WONG (MD) in U.S. healthcare records?
The official identifier for DR. JACQUELINE Y WONG (MD) is NPI 1184841710.
Active or inactive — what applies to DR. JACQUELINE Y WONG (MD)?
You should see DR. JACQUELINE Y WONG (MD) as active in CMS-hosted NPPES data.
How would a patient describe DR. JACQUELINE Y WONG (MD)'s focus?
For DR. JACQUELINE Y WONG (MD), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Washington is DR. JACQUELINE Y WONG (MD) registered?
Use Seattle, Washington as the headline location for DR. JACQUELINE Y WONG (MD) here.
Can I trust this NPI listing for DR. JACQUELINE Y WONG (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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