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

Jacqueline L. Kraetzer, NP

Individual provider Acute Care Nurse Practitioner · NPI 1811462088

Jacqueline L. Kraetzer, NP is a Nurse Practitioner in Santa Monica, California. Qualified in 2016, 10 years ago. Practices with Providence Medical Institute, a 336-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2018
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

625 Montana Ave Ste E
Santa Monica, CA 90403-1464
Phone: (323) 229-0292
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 95009771 (CA)

Record details

NPI number1811462088
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedOctober 3, 2018
Last updated in NPPESMarch 10, 2025
Certification dateMarch 10, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Providence Medical Institute — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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