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MS. JACQUELINE CLARKE APRN
NPI 1205494549
Nurse Practitioner - Family in Temple Terrace, FL

Active since June 02, 2019PECOS EnrolledAccepts Medicare Assignment
12470 TELECOM DR STE 100, TEMPLE TERRACE, FL 33637(813) 779-6303(888) 977-1998 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 28, 2020, Jun 2, 2019 (2 updates tracked since 2019).

About Ms. Jacqueline Clarke Aprn NPPES

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

MS. JACQUELINE CLARKE APRN (NPI 1205494549) is an individual family provider in Temple Terrace, Florida, licensed in Florida (APRN11002059) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1205494549
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. JACQUELINE CLARKECredential: APRN
Location Address12470 TELECOM DR STE 100Temple Terrace, FL 33637-0904
Mailing Address12470 Telecom Dr Ste 100Temple Terrace, FL 33637-0904 · (813) 779-6303 · Fax (888) 977-1998
Phone(813) 779-6303
Fax(888) 977-1998
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 2, 2019
Last NPPES UpdateJanuary 28, 20202 updates tracked since enumeration
✔ NPI 1205494549 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 FL · APRN11002059
12470 TELECOM DR STE 100, Temple Terrace, FL 33637
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Jacqueline Clarke Aprn 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 ID2668808015
PECOS Enrollment IDI20250924001180
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 Reassignments

2

Medicare enrollment records show Jacqueline Clarke reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Hospital Physician Group Inc
3.0 mi
Family Medicine
3000 MEDICAL PARK DR, STE 320
Tampa, FL 33613
  • Reassigned Medicare billing, Florida enrollment
  • 1,719 clinicians in this Medicare group
NPI 1174955256 (813) 336-5766
Brookview Medical Associates, PLLC
1,023 mi
General Practice
80 ORVILLE DR STE 100
Bohemia, NY 11716
  • Reassigned Medicare billing, New York enrollment
  • 754 clinicians in this Medicare group
NPI 1871965855 (972) 715-3800

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 33637 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 18

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

SARAH M SOUZA PA-C
Physician Assistant
12470 TELECOM DR STE 100
TEMPLE TERRACE, FL 33637
Hillsborough County (813) 779-6303
TINA SHARRON HILL APRN
Nurse Practitioner (Family)
12470 TELECOM DR STE 100
TEMPLE TERRACE, FL 33637
Hillsborough County (813) 779-6303
MR. ROBERT FRANK LAPUMA D.O.
Internal Medicine
12470 TELECOM DR STE 100
TEMPLE TERRACE, FL 33637
Hillsborough County (813) 779-6303
ER'REAL ROSE MARIE PETERSON APRN
Nurse Practitioner (Gerontology)
12470 TELECOM DR STE 100
TEMPLE TERRACE, FL 33637
Hillsborough County (813) 779-6303
JUAN C SALGADO RAMIREZ M.D.
Internal Medicine
12470 TELECOM DR STE 100
TEMPLE TERRACE, FL 33637
Hillsborough County (813) 779-6303
DR. BARRY ZALMAN DO
Family Medicine
12470 TELECOM DR STE 100
TEMPLE TERRACE, FL 33637
Hillsborough County (813) 779-6303
MS. ROBIN ANN JOSEPH M.D.
Internal Medicine
12470 TELECOM DR STE 100
TEMPLE TERRACE, FL 33637
Hillsborough County (813) 779-6303
DR. SHERIF ELGAMAL
Internal Medicine
12470 TELECOM DR STE 100
TEMPLE TERRACE, FL 33637
Hillsborough County (813) 779-6303

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 Clarke's NPI number?

The NPI number for Jacqueline Clarke is 1205494549. It was assigned to this individual provider in the NPPES registry on June 2, 2019.

Where is Jacqueline Clarke located?

Jacqueline Clarke practices at 12470 Telecom Dr Ste 100, Temple Terrace, FL 33637. The listed phone number is (813) 779-6303.

What is Jacqueline Clarke's specialty?

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

Is Jacqueline Clarke enrolled in Medicare?

Yes. Jacqueline Clarke 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.

Which organizations bill Medicare for Jacqueline Clarke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Clarke reassigns Medicare benefits to 2 organizations: Florida Hospital Physician Group Inc (Tampa, FL) and Brookview Medical Associates, PLLC (Bohemia, NY). Each 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 Jacqueline Clarke'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 Jacqueline Clarke was last updated on January 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.