Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline Kristina Dumagpi, FNP-C

Individual provider Family Medicine Physician · NPI 1023622867

Jacqueline Kristina Dumagpi, FNP-C is a Nurse Practitioner in Surprise, Arizona. Qualified in 2020, 6 years ago. Practices with Banner Primary Care Physicians Arizona LLC, a 237-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
6
Licensed in
AZ
In the registry since
2020
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

13995 W Statler Blvd
Surprise, AZ 85374-5501
Phone: (623) 478-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3407 N 23rd Dr, Phoenix, AZ 85015-5421 — (602) 900-6242

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 246758 (AZ)

Record details

NPI number1023622867
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedAugust 31, 2020
Last updated in NPPESAugust 31, 2020
Certification dateAugust 31, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Banner Primary Care Physicians Arizona Llc — 237 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Surprise