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JACLYN KISCHKOWER NP
NPI 1306677620
Nurse Practitioner in East Setauket, NY

Active since August 08, 2024PECOS Enrolled
45 RESEARCH WAY STE 108, EAST SETAUKET, NY 11733(631) 941-2000(631) 941-2010 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2024, Aug 8, 2024 (2 updates tracked since 2024).

About Jaclyn Kischkower Np NPPES

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

JACLYN KISCHKOWER NP (NPI 1306677620) is an individual nurse practitioner in East Setauket, New York, licensed in New York (311866) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306677620
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJACLYN KISCHKOWERCredential: NP
Location Address45 RESEARCH WAY STE 108East Setauket, NY 11733-6401
Mailing Address45 Research Way Ste 108East Setauket, NY 11733-6401 · (631) 941-2000 · Fax (631) 941-2010
Phone(631) 941-2000
Fax(631) 941-2010
Sole ProprietorYes
Enumeration DateAugust 8, 2024
Last NPPES UpdateAugust 15, 20242 updates tracked since enumeration
NPPES CertifiedAugust 15, 2024
✔ NPI 1306677620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NY · 311866
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
45 RESEARCH WAY STE 108, East Setauket, NY 11733
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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)

Jaclyn Kischkower Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11733 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.

KATHLEEN T CALLAGHAN NP, RN
Nurse Practitioner (Adult Health)
45 RESEARCH WAY STE 108
EAST SETAUKET, NY 11733
Suffolk County (631) 941-2000
NIRUPA RAMJISINGH PA
Physician Assistant (Medical)
45 RESEARCH WAY STE 108
EAST SETAUKET, NY 11733
Suffolk County (631) 941-2000
LINA M RESTREPO MD
Internal Medicine (Cardiovascular Disease)
45 RESEARCH WAY STE 108
EAST SETAUKET, NY 11733
Suffolk County (631) 941-2000
MS. JESSICA SOLTAN FNP-C
Nurse Practitioner (Family)
45 RESEARCH WAY STE 108
EAST SETAUKET, NY 11733
Suffolk County (631) 941-2000
MR. THOMAS JOSEPH PETTEI M.D.
Internal Medicine (Cardiovascular Disease)
45 RESEARCH WAY STE 108, STONY BROOK INTERNISTS
EAST SETAUKET, NY 11733
Suffolk County (631) 941-2000
NAOMI YSIMURA
Nurse Practitioner (Family)
45 RESEARCH WAY STE 108
EAST SETAUKET, NY 11733
Suffolk County (631) 941-2000
LEONIDAS MIRAS
Internal Medicine (Cardiovascular Disease)
45 RESEARCH WAY STE 108
EAST SETAUKET, NY 11733
Suffolk County (631) 941-2000
DEBORAH ANNE ROTH NP
Nurse Practitioner
45 RESEARCH WAY STE 108
EAST SETAUKET, NY 11733
Suffolk County (631) 941-2000

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 Jaclyn Kischkower's NPI number?

The NPI number for Jaclyn Kischkower is 1306677620. It was assigned to this individual provider in the NPPES registry on August 8, 2024.

Where is Jaclyn Kischkower located?

Jaclyn Kischkower practices at 45 Research Way Ste 108, East Setauket, NY 11733. The listed phone number is (631) 941-2000.

What is Jaclyn Kischkower's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jaclyn Kischkower enrolled in Medicare?

Yes. Jaclyn Kischkower is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jaclyn Kischkower was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.