Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Elizabeth Vercauteren

Individual provider Physician Assistant · NPI 1467061697

Jacqueline Elizabeth Vercauteren is a Physician Assistant in Glendale, Arizona. Qualified in 2020, 6 years ago. Practices with Dermatology and Skin Surgery Specialists of Arizona LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
6
Licensed in
AZ
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

19555 N 59th Ave
Glendale, AZ 85308-6813
Phone: (623) 572-3215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8165 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1467061697
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 23, 2020
Last updated in NPPESJanuary 14, 2021
Certification dateJanuary 14, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Dermatology And Skin Surgery Specialists Of Arizona Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Glendale