JO ANN JACQUEMAIN ANP-C
NPI 1154511954
Nurse Practitioner - Adult Health in Smithtown, NY

Q: What is Jo Ann Jacquemain's NPI number?

The NPI number for Jo Ann Jacquemain is 1154511954. It was assigned to this individual provider in the NPPES registry on July 27, 2007.

Q: What is Jo Ann Jacquemain's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jo Ann Jacquemain was last updated on April 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 27, 2007PECOS Enrolled

50 ROUTE 25A, SMITHTOWN, NY 11787(631) 862-3000 Get Directions Write a Review

NPPES record last updated: April 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jo Ann Jacquemain Anp-c NPPES

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

JO ANN JACQUEMAIN ANP-C (NPI 1154511954) is an individual adult health provider in Smithtown, New York, licensed in New York (F-303899-1) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154511954

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameJO ANN JACQUEMAINCredential: ANP-C

Location Address50 ROUTE 25ASmithtown, NY 11787-1348

Mailing Address94 Woodlawn AveDeer Park, NY 11729-1119 · (631) 274-5486

Phone(631) 862-3000

Sole ProprietorNo

Enumeration DateJuly 27, 2007

Last NPPES UpdateApril 7, 2023

NPPES CertifiedApril 7, 2023

✔ NPI 1154511954 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 NY · F-303899-1

50 ROUTE 25A, Smithtown, NY 11787

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jo Ann Jacquemain Anp-c 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 11787 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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 20

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

DR. MANISHA KANUMURI MD

Student in an Organized Health Care Education/Training Program