Jacquelyn Smith-Douglas, FNP
NPI 1598336828 · Nurse Practitioner · Costa Mesa, CA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacquelyn Smith-Douglas, FNP is a Nurse Practitioner provider in Costa Mesa, CA (NPI 1598336828).
Provider details
- NPI number
- 1598336828
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- F07210327 (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
2 documented practice locations
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
Additional practice locations (1)
- 8850 Valley View StBuena Park, CA 90620-3562Phone: (323) 251-0477
Registry dates
- Enumerated
- 2021-07-07
- Last updated
- 2022-12-29
- Certified
- 2022-12-29
Frequently asked questions
- What is Jacquelyn Smith-Douglas's NPI number?
- Jacquelyn Smith-Douglas's National Provider Identifier (NPI) is 1598336828, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacquelyn Smith-Douglas's specialty?
- Jacquelyn Smith-Douglas is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jacquelyn Smith-Douglas located?
- Jacquelyn Smith-Douglas's practice location on file with NPPES is 150 Paularino Ave, Costa Mesa, CA 92626-3301.
- What is Jacquelyn Smith-Douglas's phone number?
- The practice phone number listed in the NPPES registry for Jacquelyn Smith-Douglas is (949) 556-3433.
- Does Jacquelyn Smith-Douglas accept Medicare?
- Jacquelyn Smith-Douglas is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacquelyn Smith-Douglas's NPI active?
- Yes — Jacquelyn Smith-Douglas's NPI (1598336828) is active in the NPPES registry as of the last update on 2022-12-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.