JACKYLINE N KIKOYO PMHNP-BC
NPI 1144045899
Nurse Practitioner - Psychiatric/Mental Health in Sturbridge, MA
About Jackyline N Kikoyo Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKYLINE N KIKOYO PMHNP-BC (NPI 1144045899) is an individual psychiatric/mental health provider in Sturbridge, Massachusetts, licensed in Massachusetts (RN2319823) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Virginia Beach, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Jackyline N Kikoyo Pmhnp-bc 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01566 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STURBRIDGE, MA 01566
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 Jackyline Kikoyo's NPI number?
The NPI number for Jackyline Kikoyo is 1144045899. It was assigned to this individual provider in the NPPES registry on November 18, 2024.
Where is Jackyline Kikoyo located?
Jackyline Kikoyo practices at 58 Main St, Sturbridge, MA 01566. The listed phone number is (774) 240-6869.
What is Jackyline Kikoyo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jackyline Kikoyo enrolled in Medicare?
Yes. Jackyline Kikoyo 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 Jackyline Kikoyo was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Jackyline N Kikoyo, PMHNP-BC · NPI 1144045899
Psychiatric/Mental Health physician in Sturbridge, Massachusetts. Individual provider, active in the CMS NPPES registry since November 18, 2024.
## Identity
- **NPI:** 1144045899 (Entity type: Individual)
- **Enumerated:** November 18, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** RN2319823 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 58 MAIN ST, Sturbridge, MA 01566-1507
- **Phone:** (774) 240-6869
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** April 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1144045899) · Data from the CMS NPPES public registry.