Jacquelyn Victoria Zommick, PMHNP
NPI 1073282786ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Valencia, CA
Nurse Practitioner, Psych/Mental Health (PMHNP) with Mental Wellness for Life A Nursing Corporation, practicing in Valencia, California. 13 Medicare patients in 2024, $22,294 paid; all of their 75 Part D prescriptions were generic.
Overview
| NPI | 1073282786 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PMHNP |
| Sole proprietor | No |
| NPI issued | Sep 8, 2021 |
| Last updated in NPPES | Mar 11, 2024 |
| Certified by provider | Mar 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | 95020736 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 13 |
|---|---|
| Services billed | 212 across 5 procedure codes |
| Paid by Medicare | $22,294 |
Part D prescriptions in 2024
| Prescriptions (claims) | 75 · 115 30-day fills |
|---|---|
| Total drug cost | $622.95 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Mental Wellness for Life A Nursing CorporationCalabasas, CA · 2 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 35 psychiatric nurse practitioners in Valencia · All psychiatric nurse practitioners in California