JACQUELINE ELIZABETH TIZOL-URENA PAC - NPI 1083303226 - Physician Assistant in Lawrenceville, GA

Q: What is Jacqueline Tizol-urena's NPI number?

The NPI number for Jacqueline Tizol-urena is 1083303226. It was assigned to this individual provider in the NPPES registry on May 3, 2023.

Q: What is Jacqueline Tizol-urena's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

On this page

About Jacqueline Elizabeth Tizol-urena Pac NPPES

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

JACQUELINE ELIZABETH TIZOL-URENA PAC (NPI 1083303226) is an individual physician assistant in Lawrenceville, Georgia, licensed in Georgia (12955) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and is a graduate of Morehouse School Of Medicine (2024).

NPPES Registry Identity

NPI1083303226

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJACQUELINE ELIZABETH TIZOL-URENACredential: PAC

Location Address301 PHILIP BLVD STE ALawrenceville, GA 30046-8746

Mailing Address301 Philip Blvd Ste ALawrenceville, GA 30046-8746 · (770) 822-5560 · Fax (770) 822-4989

Phone(770) 822-5560

Fax(770) 822-4989

Sole ProprietorNo

Medical School CMSMorehouse School Of MedicineGraduated 2024

Enumeration DateMay 3, 2023

Last NPPES UpdateApril 3, 20252 updates tracked since enumeration

NPPES CertifiedApril 3, 2025

✔ NPI 1083303226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in GA · 12955

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

301 PHILIP BLVD STE A, Lawrenceville, GA 30046

Open in Google Maps ↗

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

Jacqueline Elizabeth Tizol-urena Pac 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 ID749707750

PECOS Enrollment IDI20250502002509

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.

Hospital Affiliations CMS Care Compare

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

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110087

Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

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 7

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

ELISHIA KATHLEEN CRUMWELL-MACK CNP

Nurse Practitioner