MRS. JACQUELINE M WOLK FNP
NPI 1144730615
Nurse Practitioner - Family in Bloomsdale, MO

Active since October 10, 2017PECOS EnrolledAccepts Medicare Assignment
255 BODERMAN, BLOOMSDALE, MO 63627(573) 483-2929(573) 483-9612 Get Directions Write a Review

NPPES record last updated: October 10, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Jacqueline M Wolk Fnp NPPES

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

MRS. JACQUELINE M WOLK FNP (NPI 1144730615) is an individual family provider in Bloomsdale, Missouri, licensed in Missouri (2017036067) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1144730615
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JACQUELINE M WOLKCredential: FNP
Location Address255 BODERMANBloomsdale, MO 63627-9099
Mailing Address800 Ste Genevieve DrSte Genevieve, MO 63670-1434 · (573) 883-7781 · Fax (573) 883-4411
Fax(573) 483-9612
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 10, 2017
NPI 1144730615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MO · 2017036067
255 BODERMAN, Bloomsdale, MO 63627

Other Names 1

Former Name (1)Jacqueline Marie Flavin

Accepted 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

Mrs. Jacqueline M Wolk Fnp 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 ID4688930092
PECOS Enrollment IDI20171116003012
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
106 services67 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63627 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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 13

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

Nurse Practitioner (Family)
255 BODERMAN
BLOOMSDALE, MO 63627
Clinic/Center (Rural Health)
255 BODERMAN
BLOOMSDALE, MO 63627
Nurse Practitioner (Family)
255 BODERMAN
BLOOMSDALE, MO 63627
Surgery
255 BODERMAN, SUITE 1B
BLOOMSDALE, MO 63627
Pediatrics
255 BODERMAN
BLOOMSDALE, MO 63627
Family Medicine
255 BODERMAN
BLOOMSDALE, MO 63627
Pharmacist
255 BODERMAN
BLOOMSDALE, MO 63627
Pharmacy (Community/Retail Pharmacy)
255 BODERMAN, SUITE 1E
BLOOMSDALE, MO 63627

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 Jacqueline Wolk's NPI number?

The NPI number for Jacqueline Wolk is 1144730615. It was assigned to this individual provider in the NPPES registry on October 10, 2017. The provider is also known as Jacqueline Marie Flavin.

Where is Jacqueline Wolk located?

Jacqueline Wolk practices at 255 Boderman, Bloomsdale, MO 63627. The listed phone number is (573) 483-2929.

What is Jacqueline Wolk's specialty?

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

Is Jacqueline Wolk enrolled in Medicare?

Yes. Jacqueline Wolk 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.

What insurance does Jacqueline Wolk accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Jacqueline Wolk as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacqueline Wolk was last updated on October 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.