Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jacquelyn Victoria Zommick, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1073282786

Jacquelyn Victoria Zommick, PMHNP is a Nurse Practitioner in Valencia, California. Qualified in 2021, 5 years ago. Practices with Mental Wellness for Life a Nursing Corporation, a 2-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

28212 Kelly Johnson Pkwy Ste 215
Valencia, CA 91355-5090
Phone: (818) 688-6826
Fax: (877) 349-4481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 23500 Park Sorrento Unit A4, Calabasas, CA 91302-4117 — (818) 688-6862

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95020736 (CA)

Record details

NPI number1073282786
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedSeptember 8, 2021
Last updated in NPPESMarch 11, 2024
Certification dateMarch 11, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mental Wellness For Life A Nursing Corporation — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients13
Services billed 212 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Mental Wellness for Life a Nursing Corporation

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Valencia