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

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: October 25, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Jo Ann Jacquemain reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stony Brook Internists, University Faculty Practice Corporation
6.0 mi
Cardiac Rehabilitation
SUNY @ STONY BROOK, HSC, L16, RM 020
Stony Brook, NY 11794
  • Reassigned Medicare billing, New York enrollment
  • 177 clinicians in this Medicare group
NPI 1295778371 (631) 444-2448

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
50 ROUTE 25A
SMITHTOWN, NY 11787
Suffolk County (631) 862-3000
KIYOSHI TAIBU CHANDLER DO
Student in an Organized Health Care Education/Training Program
50 ROUTE 25A
SMITHTOWN, NY 11787
Suffolk County (631) 376-4163
SALMA SANZIDA ISLAM M.D
Internal Medicine
50 ROUTE 25A
SMITHTOWN, NY 11787
Suffolk County (631) 862-3000
DR. NICOLAE DRAGOS BIZETA MD
Internal Medicine (Infectious Disease)
50 ROUTE 25A
SMITHTOWN, NY 11787
Suffolk County (631) 406-0006
ISLAM FURSAN HASASNA DO
Student in an Organized Health Care Education/Training Program
50 ROUTE 25A
SMITHTOWN, NY 11787
Suffolk County (631) 862-3000
DR. DIANA Z AKBERZIE MD
Internal Medicine
50 ROUTE 25A
SMITHTOWN, NY 11787
Suffolk County (631) 862-3890
ST. CATHERINE OF SIENA MEDICAL CENTER
General Acute Care Hospital
50 ROUTE 25A
SMITHTOWN, NY 11787
Suffolk County (631) 862-3541
DR. JOSHUA PETER BOZEK D.O.
Emergency Medicine
50 ROUTE 25A
SMITHTOWN, NY 11787
Suffolk County (631) 862-3111

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 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.

Where is Jo Ann Jacquemain located?

Jo Ann Jacquemain practices at 50 Route 25A, Smithtown, NY 11787. The listed phone number is (631) 862-3000.

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.

Is Jo Ann Jacquemain enrolled in Medicare?

Yes. Jo Ann Jacquemain is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jo Ann Jacquemain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jo Ann Jacquemain reassigns Medicare benefits to Stony Brook Internists, University Faculty Practice Corporation (Stony Brook, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jo Ann Jacquemain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.