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JACQUELIN S DANIEL CNP
NPI 1083619563
Nurse Practitioner - Family in Victoria, VA

Active since June 20, 2005PECOS EnrolledAccepts Medicare Assignment
1508 K-V ROAD, VICTORIA, VA 23974(434) 696-2165(434) 696-1577 Get Directions Write a Review

NPPES record last updated: October 11, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacquelin S Daniel Cnp NPPES

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

JACQUELIN S DANIEL CNP (NPI 1083619563) is an individual family provider in Victoria, Virginia, licensed in Virginia (0024164095) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1083619563
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACQUELIN S DANIELCredential: CNP
Location Address1508 K-V ROADVictoria, VA 23974
Mailing Address1508 K-v RoadVictoria, VA 23974 · (434) 696-2165 · Fax (434) 696-1557
Phone(434) 696-2165
Fax(434) 696-1577
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 20, 2005
Last NPPES UpdateOctober 11, 2012
✔ NPI 1083619563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024164095
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License 0024164095 (VA)
1508 K-V ROAD, Victoria, VA 23974
Open in Google Maps ↗

Other Identifiers 14

Other010025788VA · Va Premier Kb
Other187697VA · Medcost Kb
Medicare UPINQ38634VA
Medicare ID-Type Unspecified006895S75VA · Medicare #
Other010105510VA · Va Premier
Other187620VA · Medcost
Other187699VA · Medcost Cc
Medicare ID-Type Unspecified009852C15VA · Medicare #
Medicaid010252881VA
Medicaid010105510VA
Other224189800VA · Dol
Other7000967VA · Nc Medicaid
Medicare ID-Type Unspecified006896K59VA · Medicare #
Medicaid010025788VA

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

Jacquelin S Daniel Cnp 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 ID5799730420
PECOS Enrollment IDI20050316000187
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 23974 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 4

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

DR. KURIAKOSE V. THEKKETHALA M.D.
Family Medicine
1508 K-V ROAD
VICTORIA, VA 23974
Lunenburg County (434) 696-2165
MICHAEL E HURST MD
Pediatrics
1508 K-V ROAD
VICTORIA, VA 23974
Lunenburg County (434) 696-2165
SOUTHERN DOMINION HEALTH SYSTEM, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1508 K-V ROAD
VICTORIA, VA 23974
Lunenburg County (434) 696-2165
JOHN ALFRED HOLLAND JR. M.D.
Family Medicine
1508 K-V ROAD
VICTORIA, VA 23974
Lunenburg County (434) 696-2165

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 Jacquelin Daniel's NPI number?

The NPI number for Jacquelin Daniel is 1083619563. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Where is Jacquelin Daniel located?

Jacquelin Daniel practices at 1508 K-V Road, Victoria, VA 23974. The listed phone number is (434) 696-2165.

What is Jacquelin Daniel's specialty?

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

Is Jacquelin Daniel enrolled in Medicare?

Yes. Jacquelin Daniel 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.

When was this NPI record last updated?

The NPPES record for Jacquelin Daniel was last updated on October 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.