Jacquelin Auguste Pierre

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10388 Issued in AZ

Practice address

1100 N Sonora Loop Apt 3103
Coolidge, AZ 85128-3971

Phone

(781) 498-9747

NPI assigned

May 27, 2024

Last updated

Oct 13, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Health Care & More LLC

  • Case Management Agency
  • Coolidge, AZ
  • NPI 1730040833
  Medicare reassignment NPD Authorized official
• Sagaly Health

  • Nursing Care Agency
  • Miami, FL
  • NPI 1861354821
  NPD

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

{
    "created_epoch": "1716768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1538909833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N SONORA LOOP APT 3103",
            "city": "COOLIDGE",
            "state": "AZ",
            "postal_code": "851283971",
            "telephone_number": "781-498-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N SONORA LOOP APT 3103",
            "city": "COOLIDGE",
            "state": "AZ",
            "postal_code": "851283971",
            "telephone_number": "781-498-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRE",
        "first_name": "JACQUELIN",
        "middle_name": "AUGUSTE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-27",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "10388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oxylife Respiratory Solutions, LLC
• Chetan Shaileshkumar Patel, NP-C
• Keila Rebeca Pena
• Patricia Florence Perez, PHYSICAL THERAPIST
• Tyler Jay Phelps, DMD
• Pinal County Arizona
• Pinal Hispanic Council Incorporated
• Positive Directions LLC
• Edward James Powell, PA-C
• Daniel Cruz Ramos, PA-C

• Physician Assistant in Coolidge, AZ
• Providers in Coolidge, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.