Individual provider Active NPI

Jacquelyn Millwee, FNP

  • Family Nurse Practitioner
  • Wildomar, CA
National Provider Identifier
1376483966
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95039012 Issued in CA
Practice address
32978 Willow Bay Rd
Wildomar, CA 92595-8070
Phone
(818) 522-5234
NPI assigned
Mar 31, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95039012 CA Primary

Addresses

Primary practice location

32978 Willow Bay Rd
Wildomar, CA 92595-8070

Mailing address

32978 Willow Bay Rd
Wildomar, CA 92595-8070
Phone (818) 522-5234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3900 5TH Ave
Suite 300
San Diego, CA 92103-3194

9850 Genesee Ave
La Jolla, CA 92037-1206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1774915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1376483966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32978 WILLOW BAY RD",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925958070",
            "telephone_number": "818-522-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32978 WILLOW BAY RD",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925958070",
            "telephone_number": "818-522-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLWEE",
        "first_name": "JACQUELYN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-31",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95039012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildomar, CA

Sources for this page

Verify at the official NPI Registry.