MRS. JENNIFER MARIE ILACQUA MSN, ACNP-BC
NPI 1245586726
Nurse Practitioner - Acute Care in Ann Arbor, MI

NPI Status: Active since August 02, 2012

Contact Information

1500 E MEDICAL CENTER DR
FLOOR 3 CARDIOVASCULAR CENTER
ANN ARBOR, MI
ZIP 48109
Phone: (888) 287-1082
Fax: (734) 232-4505

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  • Individual
  • Female
  • Nurse Practitioner
  • Acute Care
  • Accepts Insurance
  • PECOS Enrolled

About JENNIFER ILACQUA

This page provides the complete NPI Profile along with additional information for Jennifer Ilacqua, a provider established in Ann Arbor, Michigan with a medical specialization in Nurse Practitioner, focusing in acute care . The healthcare provider is registered in the NPI registry with number 1245586726 assigned on August 2012. The practitioner's primary taxonomy code is 363LA2100X with license number 4704242794 (MI). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1245586726
Provider Name
MRS. JENNIFER MARIE ILACQUA MSN, ACNP-BC
Gender
Female
Entity Type
Individual
Location Address
1500 E MEDICAL CENTER DR FLOOR 3 CARDIOVASCULAR CENTER ANN ARBOR, MI 48109
Location Phone
(888) 287-1082
Location Fax
(734) 232-4505
Mailing Address
3621 S STATE ST 700 KMS PLACE ANN ARBOR, MI 48108
Mailing Phone
(734) 936-2047
Is Sole Proprietor?
No
Enumeration Date
08-02-2012
Last Update Date
05-09-2013
Code Navigator

A nurse practitioner (NP) like Jennifer Ilacqua is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Acute Care

Taxonomy Code
363LA2100X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
4704242794
License State
MI

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

4704242794 (MI)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • MyPriority Balanced Silver - HMO
  • MyPriority Premier Silver - HMO
  • MyPriority Standard Bronze - HMO
  • MyPriority Standard Bronze - Travel - HMO
  • MyPriority Standard Gold - HMO
  • MyPriority Standard Silver - HMO
  • MyPriority Standard Silver - Travel - HMO
  • MyPriority Value Bronze - HMO
  • MyPriority Value Bronze HSA - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Jennifer Ilacqua is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Unknown

  • Treatment-Chemotherapy (RH012N)

    Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period (HCPCS:Q0512)

    2 DME suppliers used 12 Medicare Claims 15 Services Paid

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 48109 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $90.76
  • Minimum New Patient Price $58.04
  • Maximum New Patient Price $177.36
  • Average New Patient Copayment $22.69
  • Minimum New Patient Copayment $14.51
  • Maximum New Patient Copayment $44.34

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $102.35
  • Minimum Established Patient Price $18.32
  • Maximum Established Patient Price $143.49
  • Average Established Patient Copayment $25.58
  • Minimum Established Patient Copayment $4.58
  • Maximum Established Patient Copayment $35.87

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for MRS. JENNIFER MARIE ILACQUA MSN, ACNP-BC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245586726
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22851081274
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 1 + 0 + 8 + 1 + 2 + 7 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1245586726 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DR. TAMI L. REMINGTON PHARM.D.

Pharmacist

(Pharmacotherapy)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI
ZIP 48109

(734) 936-5023

DR. JAMES G STEVENSON PHARMD

Pharmacist

1500 E MEDICAL CENTER DR
ANN ARBOR, MI
ZIP 48109

(734) 647-7794

DR. SALLY K GUTHRIE PHARM.D.

Pharmacist

(Psychiatric)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI
ZIP 48109

(734) 647-2350

DR. KARLA AURORA BLACKWOOD MD

Psychiatry & Neurology

(Psychiatry)

1500 E MEDICAL CENTER DR
B1 FLOOR UNIVERSITY HOSPITAL RECP EMERGENCY
ANN ARBOR, MI
ZIP 48109

(734) 996-4747

DEBORAH LOUISE VIHER NP

Nurse Practitioner

1500 E MEDICAL CENTER DR
3RD FLOOR TAUBMAN CENTER RECP D
ANN ARBOR, MI
ZIP 48109

(734) 647-5944

MS. DEBRA BANCROFT RIZZO F.N.P.-C

Nurse Practitioner

1500 E MEDICAL CENTER DR
3RD TAUBMAN CENTER RECP A
ANN ARBOR, MI
ZIP 48109

(734) 647-5900

DR. ELIZABETH KATHERINE SPELIOTES MD PHD

Internal Medicine

(Gastroenterology)

1500 E MEDICAL CENTER DR
3RD FLOOR TAUBMAN CENTER RECP D
ANN ARBOR, MI
ZIP 48109

(734) 647-5944

DR. ROBERT ADAM LIOTTA M.D.

Radiology

(Diagnostic Radiology)

1500 E MEDICAL CENTER DR
B1 FLOOR UNIVERSITY HOSPITAL RECP C
ANN ARBOR, MI
ZIP 48109

(734) 936-4566

LISA A HARRIS SPINNER CRNA

Nurse Anesthetist, Certified Registered

1500 E MEDICAL CENTER DR
1ST FLOOR TAUBMAN CENTER RECP E
ANN ARBOR, MI
ZIP 48109

(734) 763-6295

SHANNON LEE MITCHELL CRNA

Nurse Anesthetist, Certified Registered

1500 E MEDICAL CENTER DR
1H247 UNIVERSITY HOSPITAL
ANN ARBOR, MI
ZIP 48109

(734) 936-4280

CHRISTINA BUSH CRNA

Nurse Anesthetist, Certified Registered

1500 E MEDICAL CENTER DR
ANN ARBOR, MI
ZIP 48109

(734) 936-4280

MARLENA STANKIEWICZ CRNA

Nurse Anesthetist, Certified Registered

1500 E MEDICAL CENTER DR
1H247 UNIVERSITY HOSPITAL
ANN ARBOR, MI
ZIP 48109

(734) 936-4280

DENISE R BAUER N.P.

Nurse Practitioner

1500 E MEDICAL CENTER DR
7TH FLOOR MOTT RM F7830
ANN ARBOR, MI
ZIP 48109

(734) 763-7354

MRS. CARRIE LEE LINT RN ACNP

Nurse Practitioner

1500 E MEDICAL CENTER DR
2ND FLOOR TAUBMAN CENTER RECP G
ANN ARBOR, MI
ZIP 48109

(734) 936-7010

MRS. TAMARA MANGAN GHORMLEY NP

Nurse Practitioner

(Family)

1500 E MEDICAL CENTER DR
B1 FLOOR CANCER CTR RECP C
ANN ARBOR, MI
ZIP 48109

(734) 936-6000

ELENA MARTINEZ STOFFEL MD MPH

Internal Medicine

(Gastroenterology)

1500 E MEDICAL CENTER DR
3RD FLOOR TAUBMAN CENTER RECP D
ANN ARBOR, MI
ZIP 48109

(734) 647-5944

DR. DAVID J BROWN M.D.

Otolaryngology

1500 E MEDICAL CENTER DR
2ND FLOOR TAUBMAN CTR RECP G
ANN ARBOR, MI
ZIP 48109

(734) 936-5730

KEITH GINGERICH CRNA

Nurse Anesthetist, Certified Registered

1500 E MEDICAL CENTER DR
ANN ARBOR, MI
ZIP 48109

(734) 936-4280

MRS. DANIELLE JEANETTE BOZAAN NP

Nurse Practitioner

1500 E MEDICAL CENTER DR
2ND FLOOR TAUBMAN CTR RECP G
ANN ARBOR, MI
ZIP 48109

(734) 936-7010

MARK YAT-FUNG CHIANG MD

Internal Medicine

(Hematology & Oncology)

1500 E MEDICAL CENTER DR
B1 FLOOR CANCER RECP B
ANN ARBOR, MI
ZIP 48109

(734) 936-6000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245586726, enumerated as an "individual" on August 02, 2012.

The provider is located at 1500 E MEDICAL CENTER DR FLOOR 3 CARDIOVASCULAR CENTER ANN ARBOR, MI 48109 and the phone number is (888) 287-1082.

Nurse Practitioner with taxonomy code 363LA2100X and a focus in Acute Care.

The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Molina. Please consult your insurance carrier or call the provider to verify.