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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACKELIN SCALZITTI DPM
NPI 1164273280
Student in an Organized Health Care Education/Training Program in Peoria, IL

Active since March 27, 2024PECOS Enrolled
124 SW ADAMS ST, PEORIA, IL 61602(309) 655-2850 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jackelin Scalzitti Dpm NPPES

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

JACKELIN SCALZITTI DPM (NPI 1164273280) is an individual student in an organized health care education/training program in Peoria, Illinois and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164273280
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJACKELIN SCALZITTICredential: DPM
Location Address124 SW ADAMS STPeoria, IL 61602-1308
Mailing Address608 S Fairview AveElmhurst, IL 60126-4205 · (956) 543-6925
Phone(309) 655-2850
Sole ProprietorYes
Enumeration DateMarch 27, 2024
Last NPPES UpdateAugust 11, 2026
NPPES CertifiedAugust 11, 2026
✔ NPI 1164273280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
124 SW ADAMS ST, Peoria, IL 61602
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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)

Jackelin Scalzitti Dpm 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.

Other Providers at the Same Location NPPES 8

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

OSF HEALTHCARE SYSTEM
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
124 SW ADAMS ST
PEORIA, IL 61602
Peoria County (309) 655-2850
SANDY NORTHCUTT
Nurse Practitioner (Family)
124 SW ADAMS ST
PEORIA, IL 61602
Peoria County (888) 209-3761
JAMIN KWEKU ADDAE MD
Surgery
124 SW ADAMS ST
PEORIA, IL 61602
Peoria County (309) 691-4005
OSF HEALTHCARE SYSTEM
General Acute Care Hospital
124 SW ADAMS ST
PEORIA, IL 61602
Peoria County (309) 655-2850
CONNOR JAMES RACHFORD MD
Student in an Organized Health Care Education/Training Program
124 SW ADAMS ST
PEORIA, IL 61602
Peoria County (855) 673-4325
JASMIN JACOB ARNP
Nurse Practitioner (Family)
124 SW ADAMS ST
PEORIA, IL 61602
Peoria County (309) 683-9345
DR. ALEXIS NOELL DANDRIDGE
Physical Therapist
124 SW ADAMS ST
PEORIA, IL 61602
Peoria County (309) 839-0470
DAWN SCHURTER LCSW
Social Worker (Clinical)
124 SW ADAMS ST
PEORIA, IL 61602
Peoria County (309) 683-4318

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 Jackelin Scalzitti's NPI number?

The NPI number for Jackelin Scalzitti is 1164273280. It was assigned to this individual provider in the NPPES registry on March 27, 2024.

Where is Jackelin Scalzitti located?

Jackelin Scalzitti practices at 124 SW Adams St, Peoria, IL 61602. The listed phone number is (309) 655-2850.

What is Jackelin Scalzitti's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jackelin Scalzitti enrolled in Medicare?

Yes. Jackelin Scalzitti is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jackelin Scalzitti was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.