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JACQUELINE CANILAO PMHNP
NPI 1194532119
Nurse Practitioner - Psychiatric/Mental Health in Marlton, NJ

Active since December 12, 2024PECOS EnrolledAccepts Medicare Assignment
141 ROUTE 70 E STE B, MARLTON, NJ 08053(856) 596-9057(856) 596-0837 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 5, 2025, Dec 12, 2024 (2 updates tracked since 2024).

About Jacqueline Canilao Pmhnp NPPES

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

JACQUELINE CANILAO PMHNP (NPI 1194532119) is an individual psychiatric/mental health provider in Marlton, New Jersey, licensed in New Jersey (26NJ15228900) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1194532119
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJACQUELINE CANILAOCredential: PMHNP
Location Address141 ROUTE 70 E STE BMarlton, NJ 08053-1855
Mailing Address301 Lippincott Dr Ste 410Marlton, NJ 08053-4197 · (856) 596-9057 · Fax (856) 596-0837
Phone(856) 596-9057
Fax(856) 596-0837
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 12, 2024
Last NPPES UpdateFebruary 5, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2025
✔ NPI 1194532119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in NJ · 26NJ15228900✔ Licensed in NJ · 26NR15228900
141 ROUTE 70 E STE B, Marlton, NJ 08053
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1209 Deerpark CtMarlton, NJ 08053-2008 · Phone (856) 278-1527
Location 2401 Young Ave Ste 245Moorestown, NJ 08057-3132 · Phone (856) 235-4656 · Fax (856) 235-4786
Location 3239 Hurffville Crosskeys Rd Ste 450Sewell, NJ 08080-4009 · Phone (856) 341-8390 · Fax (856) 341-8131

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

Jacqueline Canilao Pmhnp 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 ID2668902164
PECOS Enrollment IDI20250213001521
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 08053 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

MS. FLEURDELIZ ALABANZAS GERMODO N.P.
Nurse Practitioner (Acute Care)
141 ROUTE 70 E STE B
MARLTON, NJ 08053
Burlington County (856) 596-9057
WILLIAM HENRY TAYLOR V AGACNP-BC
Nurse Practitioner (Critical Care Medicine)
141 ROUTE 70 E STE B
MARLTON, NJ 08053
Burlington County (856) 596-9057
HOWARD SOH
Internal Medicine (Pulmonary Disease)
141 ROUTE 70 E STE B
MARLTON, NJ 08053
Burlington County (856) 596-9057
EILEEN SPAUGH
Nurse Practitioner (Gerontology)
141 ROUTE 70 E STE B, RENAISSANCE SQUARE
MARLTON, NJ 08053
Burlington County (856) 596-9057
SYED A. RIAZ M.D.
Internal Medicine (Critical Care Medicine)
141 ROUTE 70 E STE B
MARLTON, NJ 08053
Burlington County (856) 596-9057
ANDREW ECKER
Nurse Practitioner
141 ROUTE 70 E STE B
MARLTON, NJ 08053
Burlington County (856) 596-9057
ALEXANDER P GABLIN AGACNP-BC
Nurse Practitioner (Acute Care)
141 ROUTE 70 E STE B
MARLTON, NJ 08053
Burlington County (856) 596-9057
DR. EMILIO MAZZA JR. MD
Internal Medicine (Critical Care Medicine)
141 ROUTE 70 E STE B
MARLTON, NJ 08053
Burlington County (856) 596-9057

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 Canilao's NPI number?

The NPI number for Jacqueline Canilao is 1194532119. It was assigned to this individual provider in the NPPES registry on December 12, 2024.

Where is Jacqueline Canilao located?

Jacqueline Canilao practices at 141 Route 70 E Ste B, Marlton, NJ 08053. The listed phone number is (856) 596-9057.

What is Jacqueline Canilao's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jacqueline Canilao enrolled in Medicare?

Yes. Jacqueline Canilao 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 Jacqueline Canilao was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.