Jacqueline L. Kraetzer, NP
Acute Care Nurse Practitioner · Santa Monica, CA
Jacqueline L. Kraetzer, NP is an acute care nurse practitioner with a practice address in Santa Monica, California, and NPI 1811462088, issued on Oct 3, 2018. Check the license (California 95009771, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jacqueline L. Kraetzer
- Credential
- NP
- Primary taxonomy
- Acute Care Nurse Practitioner 363LA2100X
- License number
- 95009771 CA
Self-reported in NPPES; status is on the state search - Practice location
- 625 Montana Ave Ste E, Santa Monica, CA 90403
- Phone
- (323) 229-0292
- Enumerated
- Oct 3, 2018
- Record last updated
- Mar 10, 2025
- Medicare enrollment
- Enrolled (PECOS I20190719000299); accepts Medicare assignment
- Entity
- Type 1 · individual
Verify Jacqueline L. Kraetzer in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license 95009771Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Providence Medical InstituteLos Angeles, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
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Common questions
What is Jacqueline L. Kraetzer, NP's NPI number?
Jacqueline L. Kraetzer, NP's National Provider Identifier (NPI) is 1811462088, issued on Oct 3, 2018. An NPI identifies a provider in billing; it is not a license.
Where is Jacqueline L. Kraetzer, NP located?
The NPPES record lists a practice address at 625 Montana Ave Ste E, Santa Monica, CA, 90403. Phone: (323) 229-0292. Providers update this record themselves, so call before visiting.
How can I verify Jacqueline L. Kraetzer, NP's license?
NPPES lists California license number 95009771, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.