JACLYN BOOP-LOOPE NP
NPI 1083507933
Nurse Practitioner - Acute Care in Johnson City, NY

Q: What is Jaclyn Boop-loope's NPI number?

The NPI number for Jaclyn Boop-loope is 1083507933. It was assigned to this individual provider in the NPPES registry on May 30, 2025.

Q: What is Jaclyn Boop-loope's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Boop-loope was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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 May 30, 2025PECOS Enrolled

30 HARRISON ST STE 400, JOHNSON CITY, NY 13790(607) 763-8008 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jaclyn Boop-loope Np NPPES

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

JACLYN BOOP-LOOPE NP (NPI 1083507933) is an individual acute care provider in Johnson City, New York, licensed in New York (433308) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1083507933

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameJACLYN BOOP-LOOPECredential: NP

Location Address30 HARRISON ST STE 400Johnson City, NY 13790-2176

Mailing Address33 Lewis Rd, Fl 2Binghamton, NY 13905 · (607) 770-0025

Phone(607) 763-8008

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMay 30, 2025

NPPES CertifiedMay 30, 2025

✔ NPI 1083507933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in NY · 433308

30 HARRISON ST STE 400, Johnson City, NY 13790

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaclyn Boop-loope Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375045719

PECOS Enrollment IDI20250905001572

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13790 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

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Other Providers at the Same Location NPPES 10

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

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