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JACQUELYN S STATHIS NP
NPI 1124591052
Nurse Practitioner - Adult Health in New York, NY

Active since January 03, 2019PECOS Enrolled
96.04/100
CMS Quality Rating
100 E 77TH ST, NEW YORK, NY 10075(212) 434-2000 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 23, 2023, Oct 12, 2020, Jan 3, 2019 (3 updates tracked since 2019).

About Jacquelyn S Stathis Np NPPES

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

JACQUELYN S STATHIS NP (NPI 1124591052) is an individual adult health provider in New York, New York, licensed in New Jersey (26NJ00814500) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124591052
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJACQUELYN S STATHISCredential: NP
Location Address100 E 77TH STNew York, NY 10075-1850
Mailing Address100 E 77th StNew York, NY 10075-1850 · (212) 434-2000
Phone(212) 434-2000
Sole ProprietorNo
Enumeration DateJanuary 3, 2019
Last NPPES UpdateOctober 23, 20233 updates tracked since enumeration
NPPES CertifiedOctober 23, 2023
✔ NPI 1124591052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NJ · 26NJ00814500
100 E 77TH ST, New York, NY 10075
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 (PECOS)

Jacquelyn S Stathis Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 10075 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.55
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

MRS. CATHERINE WILLIAMS HALL NURSE PRACTITIONER
Nurse Practitioner (Neonatal, Critical Care)
100 E 77TH ST
NEW YORK, NY 10075
New York County (212) 434-2000
MS. PUNAM SHERPA PA
Physician Assistant
100 E 77TH ST
NEW YORK, NY 10075
New York County (646) 752-1480
MARIA PUTILINA
Student in an Organized Health Care Education/Training Program
100 E 77TH ST
NEW YORK, NY 10075
New York County (212) 434-2150
LINDA MANGERA
Student in an Organized Health Care Education/Training Program
100 E 77TH ST
NEW YORK, NY 10075
New York County (212) 434-2000
JUSTIN WAN
Student in an Organized Health Care Education/Training Program
100 E 77TH ST
NEW YORK, NY 10075
New York County (212) 434-4763
AMANDA JEAN BATTISTA PA
Physician Assistant
100 E 77TH ST
NEW YORK, NY 10075
New York County (212) 434-2000
SAGAR MULAY
Anesthesiology
100 E 77TH ST
NEW YORK, NY 10075
New York County (731) 676-2644
REBECCA SAUNDERS AGACNP
Nurse Practitioner (Acute Care)
100 E 77TH ST
NEW YORK, NY 10075
New York County (212) 434-6500

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 Jacquelyn Stathis's NPI number?

The NPI number for Jacquelyn Stathis is 1124591052. It was assigned to this individual provider in the NPPES registry on January 3, 2019.

Where is Jacquelyn Stathis located?

Jacquelyn Stathis practices at 100 E 77th St, New York, NY 10075. The listed phone number is (212) 434-2000.

What is Jacquelyn Stathis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jacquelyn Stathis enrolled in Medicare?

Yes. Jacquelyn Stathis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacquelyn Stathis was last updated on October 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.