JACQUELINE CEREIJO APRN
NPI 1124413786
Nurse Practitioner in Hollywood, FL

Q: What is Jacqueline Cereijo's NPI number?

The NPI number for Jacqueline Cereijo is 1124413786. It was assigned to this individual provider in the NPPES registry on March 31, 2015.

Q: What is Jacqueline Cereijo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since March 31, 2015PECOS EnrolledAccepts Medicare Assignment

1150 N 35TH AVE STE 170, HOLLYWOOD, FL 33021(954) 265-4325(954) 985-2451 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 22, 2021, Nov 11, 2020, Jun 10, 2020 (3 updates tracked since 2020).

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About Jacqueline Cereijo Aprn NPPES

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

JACQUELINE CEREIJO APRN (NPI 1124413786) is an individual nurse practitioner in Hollywood, Florida, licensed in Florida (APRN9175902) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Memorial Regional Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1124413786

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJACQUELINE CEREIJOCredential: APRN

Location Address1150 N 35TH AVE STE 170Hollywood, FL 33021-5424

Mailing Address2900 Corporate Way, Door DMiramar, FL 33025-3925 · (954) 276-5685 · Fax (954) 985-7081

Phone(954) 265-4325

Fax(954) 985-2451

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMarch 31, 2015

Last NPPES UpdateMarch 22, 20213 updates tracked since enumeration

NPPES CertifiedMarch 22, 2021

✔ NPI 1124413786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · APRN9175902

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1150 N 35TH AVE STE 170, Hollywood, FL 33021

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Other Identifiers 1

Medicaid015195400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed, Oscar Health Maintenance Organization of Florida 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

Jacqueline Cereijo Aprn 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 ID8224348115

PECOS Enrollment IDI20151104003042

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.

Memorial Regional Hospital

Acute Care Hospitals · Hollywood, FL

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100038

Location3501 Johnson StHollywood, FL 33021 · Broward County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33021 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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 5

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

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