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JACQULYN STACHOWIAK
NPI 1073068896
Nurse Practitioner - Family in Olmsted Twp, OH

Active since August 22, 2016PECOS EnrolledAccepts Medicare Assignment
27076 BAGLEY ROAD, OLMSTED TWP, OH 44138(440) 816-8380(440) 816-8383 Get Directions Write a Review

NPPES record last updated: June 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 19, 2021, Apr 17, 2019, Aug 22, 2016 (3 updates tracked since 2016).

About Jacqulyn Stachowiak NPPES

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

JACQULYN STACHOWIAK (NPI 1073068896) is an individual family provider in Olmsted Twp, Ohio, licensed in Ohio (APRN.CNP.019712) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Southwest General Health Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1073068896
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACQULYN STACHOWIAK
Location Address27076 BAGLEY ROADOlmsted Twp, OH 44138
Mailing Address27076 Bagley RoadOlmsted Twp, OH 44138
Phone(440) 816-8380
Fax(440) 816-8383
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 22, 2016
Last NPPES UpdateJune 3, 20223 updates tracked since enumeration
NPPES CertifiedMay 24, 2022
✔ NPI 1073068896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.019712
27076 BAGLEY ROAD, Olmsted Twp, OH 44138
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Jacqulyn Stachowiak 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 ID3072894237
PECOS Enrollment IDI20161229001464
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
45 services33 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
38 services33 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Southwest General Health Center

Acute Care Hospitals · Middleburg Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360155
Location18697 Bagley RoadMiddleburg Heights, OH 44130 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44138 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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

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

EDWARD SALIBA APRN, FNP-C
Nurse Practitioner (Family)
27076 BAGLEY ROAD
OLMSTED TOWNSHIP, OH 44138
Cuyahoga County (440) 816-8380

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 Jacqulyn Stachowiak's NPI number?

The NPI number for Jacqulyn Stachowiak is 1073068896. It was assigned to this individual provider in the NPPES registry on August 22, 2016.

Where is Jacqulyn Stachowiak located?

Jacqulyn Stachowiak practices at 27076 Bagley Road, Olmsted Twp, OH 44138. The listed phone number is (440) 816-8380.

What is Jacqulyn Stachowiak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jacqulyn Stachowiak enrolled in Medicare?

Yes. Jacqulyn Stachowiak 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.

What insurance does Jacqulyn Stachowiak accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, MedMutual and Molina Healthcare list Jacqulyn Stachowiak 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 Jacqulyn Stachowiak affiliated with any hospitals?

According to CMS data, Jacqulyn Stachowiak is affiliated with Southwest General Health Center.

When was this NPI record last updated?

The NPPES record for Jacqulyn Stachowiak was last updated on June 3, 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.