Jacqueline Carrillo, AG-NP
NPI 1063178861 · Primary Care Nurse Practitioner · San Francisco, CA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacqueline Carrillo, AG-NP is a Primary Care Nurse Practitioner provider in San Francisco, CA (NPI 1063178861).
Provider details
- NPI number
- 1063178861
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AG-NP
- Sex
- Female
- Sole proprietor
- No
- License
- 95018581 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-11-16
- Last updated
- 2022-04-01
- Certified
- 2021-11-16
Frequently asked questions
- What is Jacqueline Carrillo's NPI number?
- Jacqueline Carrillo's National Provider Identifier (NPI) is 1063178861, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacqueline Carrillo's specialty?
- Jacqueline Carrillo is listed in the NPPES registry with a primary specialty of Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jacqueline Carrillo located?
- Jacqueline Carrillo's practice location on file with NPPES is 4150 Clement St, San Francisco, CA 94121-1563.
- What is Jacqueline Carrillo's phone number?
- The practice phone number listed in the NPPES registry for Jacqueline Carrillo is (415) 750-2110.
- Does Jacqueline Carrillo accept Medicare?
- Jacqueline Carrillo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacqueline Carrillo's NPI active?
- Yes — Jacqueline Carrillo's NPI (1063178861) is active in the NPPES registry as of the last update on 2022-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.