JACKLYN REYES PANCRUDO D.O.
NPI 1003046962
Internal Medicine - Critical Care Medicine in Miami, FL
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
10Medicare enrollment records show Jacklyn Pancrudo reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Aventura, FL 33180
- Reassigned Medicare billing, District of Columbia, Florida, Georgia, Kentucky, South Carolina, Tennessee and Virginia enrollments
- 16 clinicians in this Medicare group
Tampa, FL 33609
- Reassigned Medicare billing, Florida enrollment
- 85 clinicians in this Medicare group
St Petersburg, FL 33716
- Reassigned Medicare billing, Florida enrollment
- 440 clinicians in this Medicare group
Webster, TX 77598
- Reassigned Medicare billing, Texas enrollment
- 76 clinicians in this Medicare group
Houston, TX 77090
- Reassigned Medicare billing, Texas enrollment
- 88 clinicians in this Medicare group
San Antonio, TX 78229
- Reassigned Medicare billing, Texas enrollment
- 681 clinicians in this Medicare group
Newburgh, NY 12550
- Reassigned Medicare billing, New York enrollment
- 110 clinicians in this Medicare group
Buffalo, NY 14220
- Reassigned Medicare billing, New York enrollment
- 499 clinicians in this Medicare group
Wichita, KS 67214
- Reassigned Medicare billing, Kansas enrollment
- 30 clinicians in this Medicare group
Las Vegas, NV 89169
- Reassigned Medicare billing, Nevada enrollment
- 67 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Nyack Hospital
Acute Care Hospitals · Nyack, NYPhysician 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.
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.
MIAMI, FL 33175
MIAMI, FL 33175
MIAMI, FL 33175
MIAMI, FL 33175
MIAMI, FL 33175
MIAMI, FL 33175
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
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.
Where is Jacklyn Pancrudo located?
Jacklyn Pancrudo practices at 11750 SW 40th St, Miami, FL 33175. The listed phone number is (561) 997-0821.
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.
Is Jacklyn Pancrudo enrolled in Medicare?
Yes. Jacklyn Pancrudo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jacklyn Pancrudo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacklyn Pancrudo reassigns Medicare benefits to 10 organizations: Intensive Care Consortium Inc (Aventura, FL), Intensivist Medicine Services Of Fl, LLC (Tampa, FL), Cogent Healthcare Of Jacksonville, LLC (St Petersburg, FL), Lone Star Intensivists At Gulf Coast, PLLC (Webster, TX), Intensivist Medicine Services Of Tx, PLLC (Houston, TX) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacklyn Pancrudo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacklyn Pancrudo accept?
Health plans from Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Texas, Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Jacklyn Pancrudo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Jacklyn Pancrudo affiliated with any hospitals?
According to CMS data, Jacklyn Pancrudo is affiliated with Nyack Hospital.
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.
# Jacklyn Reyes Pancrudo, D.O. · NPI 1003046962
Critical Care Medicine physician in Miami, Florida. Individual provider, active in the CMS NPPES registry since July 24, 2009.
## Identity
- **NPI:** 1003046962 (Entity type: Individual)
- **Enumerated:** July 24, 2009
- **Primary specialty:** Internal Medicine - Critical Care Medicine · taxonomy 207RC0200X
- **State license:** OS11255 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 11750 SW 40TH ST, Miami, FL 33175-3530
- **Phone:** (561) 997-0821
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Intensive Care Consortium Inc (NPI 1629019062, Aventura, FL); Intensivist Medicine Services Of Fl, LLC (NPI 1235836388, Tampa, FL); Cogent Healthcare Of Jacksonville, LLC (NPI 1386215275, St Petersburg, FL); Lone Star Intensivists At Gulf Coast, PLLC (NPI 1528558236, Webster, TX); Intensivist Medicine Services Of Tx, PLLC (NPI 1790478444, Houston, TX); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** January 27, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1003046962) · Data from the CMS NPPES public registry.