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JACQUELINE KAY NIZAMOFF OTR CHT
NPI 1003942111
Occupational Therapist - Hand in Fleming Island, FL

Active since February 25, 2007Accepts Medicare Assignment
79.26/100
CMS Quality Rating
1715 EAGLE HARBOR PKWY STE A, FLEMING ISLAND, FL 32003(904) 215-6122(904) 375-8627 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Jul 6, 2017 (2 updates tracked since 2017).

About Jacqueline Kay Nizamoff Otr Cht NPPES

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

JACQUELINE KAY NIZAMOFF OTR CHT (NPI 1003942111) is an individual hand provider in Fleming Island, Florida, licensed in Florida (2660) and active in the NPI registry since February 2007. She is a graduate of Other (1989).

NPPES Registry Identity

NPI1003942111
Entity TypeIndividualFemale
Primary Taxonomy225XH1200X
Provider Legal NameJACQUELINE KAY NIZAMOFFCredential: OTR CHT
Location Address1715 EAGLE HARBOR PKWY STE AFleming Island, FL 32003-4324
Mailing Address11945 San Jose Blvd Ste 300Jacksonville, FL 32223-1627 · (904) 396-1725
Phone(904) 215-6122
Fax(904) 375-8627
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateFebruary 25, 2007
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1003942111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational Therapist · HandRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XH1200X
License✔ Licensed in FL · 2660
1715 EAGLE HARBOR PKWY STE A, Fleming Island, FL 32003
Open in Google Maps ↗

Other Names 1

Former Name (1)Miss Jacqueline Kay Butler Otr

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., UnitedHealthcare.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

Jacqueline Kay Nizamoff Otr Cht 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 ID2062543085
PECOS Enrollment IDI20100708000102

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline Nizamoff reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Florida Surgeons, PA
5.6 mi
Surgery
11945 SAN JOSE BLVD STE 300
Jacksonville, FL 32223
  • Reassigned Medicare billing, Florida enrollment
  • 321 clinicians in this Medicare group
NPI 1912953290 (904) 396-1725

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.47
Promoting Interoperability96
Improvement Activities40

Reported Quality Measures

Documentation of Current Medications in the Medical Record
96%24 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
91%23 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%23 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 100% · 22 patients
100%22 patients
Provide Patients Electronic Access to Their Health Information
87%62 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

NORTH FLORIDA SURGEONS, PA
Clinic/Center (Multi-Specialty)
1715 EAGLE HARBOR PKWY STE A
FLEMING ISLAND, FL 32003
Duval County (904) 215-2422
RILEY AUSTIN SCHLUB M.D.
Surgery (Plastic and Reconstructive Surgery)
1715 EAGLE HARBOR PKWY STE A
FLEMING ISLAND, FL 32003
Duval County (904) 215-2422

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 Jacqueline Nizamoff's NPI number?

The NPI number for Jacqueline Nizamoff is 1003942111. It was assigned to this individual provider in the NPPES registry on February 25, 2007. The provider is also known as Miss Jacqueline Kay Butler Otr.

Where is Jacqueline Nizamoff located?

Jacqueline Nizamoff practices at 1715 Eagle Harbor Pkwy Ste A, Fleming Island, FL 32003. The listed phone number is (904) 215-6122.

What is Jacqueline Nizamoff's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Hand, with taxonomy code 225XH1200X.

Is Jacqueline Nizamoff enrolled in Medicare?

Yes. Jacqueline Nizamoff 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 organization bills Medicare for Jacqueline Nizamoff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Nizamoff reassigns Medicare benefits to North Florida Surgeons, PA (Jacksonville, FL). The 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 Jacqueline Nizamoff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Nizamoff accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare and UnitedHealthcare list Jacqueline Nizamoff 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.

When was this NPI record last updated?

The NPPES record for Jacqueline Nizamoff was last updated on July 21, 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.