JACQUELINE PANDOLFO FNP
NPI 1346579166
Nurse Practitioner - Family in New Hyde Park, NY

Active since December 08, 2009PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
269-01 76TH AVE, NEW HYDE PARK, NY 11040(718) 470-3611(718) 343-2961 Get Directions Write a Review

NPPES record last updated: February 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline Pandolfo Fnp NPPES

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

JACQUELINE PANDOLFO FNP (NPI 1346579166) is an individual family provider in New Hyde Park, New York, licensed in New York (F336097-1) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (2009).

NPPES Registry Identity

NPI1346579166
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACQUELINE PANDOLFOCredential: FNP
Location Address269-01 76TH AVENew Hyde Park, NY 11040
Mailing Address269-01 76th AveNew Hyde Park, NY 11040 · (718) 470-3611 · Fax (718) 343-2961
Fax(718) 343-2961
Sole ProprietorYes
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2009
Enumeration DateDecember 8, 2009
Last NPPES UpdateFebruary 13, 2012
NPI 1346579166 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 NY · F336097-1
269-01 76TH AVE, New Hyde Park, NY 11040

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 Pandolfo Fnp 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 ID1153640644
PECOS Enrollment IDI20150505001751
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 11040 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

Student in an Organized Health Care Education/Training Program
269-01 76TH AVE
NEW HYDE PARK, NY 11040
Student in an Organized Health Care Education/Training Program
269-01 76TH AVE, COHEN CHILDREN'S MEDICAL CENTER
NEW HYDE PARK, NY 11040
Student in an Organized Health Care Education/Training Program
269-01 76TH AVE
NEW HYDE PARK, NY 11040
Pediatrics
269-01 76TH AVE, DEPARTMENT OF PEDIATRICS
NEW HYDE PARK, NY 11040
Pediatrics (Pediatric Emergency Medicine)
269-01 76TH AVE, SUITE CH005
NEW HYDE PARK, NY 11040
Pediatrics
269-01 76TH AVE
NEW HYDE PARK, NY 11040
Student in an Organized Health Care Education/Training Program
269-01 76TH AVE
NEW HYDE PARK, NY 11040
Nurse Practitioner (Pediatrics)
269-01 76TH AVE
NEW HYDE PARK, NY 11040

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 Pandolfo's NPI number?

The NPI number for Jacqueline Pandolfo is 1346579166. It was assigned to this individual provider in the NPPES registry on December 8, 2009.

Where is Jacqueline Pandolfo located?

Jacqueline Pandolfo practices at 269-01 76th Ave, New Hyde Park, NY 11040. The listed phone number is (718) 470-3611.

What is Jacqueline Pandolfo's specialty?

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

Is Jacqueline Pandolfo enrolled in Medicare?

Yes. Jacqueline Pandolfo 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 Pandolfo was last updated on February 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.