JACKLYN REYES PANCRUDO D.O.
NPI 1003046962
Internal Medicine - Critical Care Medicine in Miami, FL

Q: What is Jacklyn Pancrudo's NPI number?

The NPI number for Jacklyn Pancrudo is 1003046962. It was assigned to this individual provider in the NPPES registry on July 24, 2009.

Q: What is Jacklyn Pancrudo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Jacklyn Pancrudo was last updated on January 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 24, 2009PECOS EnrolledAccepts Medicare Assignment

11750 SW 40TH ST, MIAMI, FL 33175(561) 997-0821 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Jacklyn Reyes Pancrudo D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKLYN REYES PANCRUDO D.O. (NPI 1003046962) is an individual critical care medicine provider in Miami, Florida, licensed in Florida (OS11255) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Nyack Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1003046962

Entity TypeIndividualFemale

Primary Taxonomy207RC0200X

Provider Legal NameJACKLYN REYES PANCRUDOCredential: D.O.

Location Address11750 SW 40TH STMiami, FL 33175-3530

Mailing Address1875 Nw Corporate Blvd, Suite 270Boca Raton, FL 33431-8542 · (561) 997-0821

Phone(561) 997-0821

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJuly 24, 2009

Last NPPES UpdateJanuary 27, 2022

✔ NPI 1003046962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in FL · OS11255

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

11750 SW 40TH ST, Miami, FL 33175

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Texas, Community Health Choice and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacklyn Reyes Pancrudo D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012134992

PECOS Enrollment IDI20140818000730, I20160201000225, I20170130000762, I20191022000274, I20200717000469, I20260219000992

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

156 services70 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

55 services50 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Nyack Hospital

Acute Care Hospitals · Nyack, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number330104

Location160 North Midland AvenueNyack, NY 10960 · Rockland County

Birthing friendly

Tristar Skyline Medical Center

Acute Care Hospitals · Nashville, TN

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440006

Location3441 Dickerson PikeNashville, TN 37207 · Davidson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33175 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$141.56 typical visit price

range $60.92 – $187.05

Typical copayment $35.39 (range $15.23 – $46.76)

Most-billed visit code 99204

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELA GORDILLO GONZALEZ MD

Student in an Organized Health Care Education/Training Program