JACQUELINE PANDOLFO FNP
NPI 1346579166
Nurse Practitioner - Family in New Hyde Park, NY
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
Specialties & Licenses
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Jacqueline Pandolfo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
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 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.
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.
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.
NEW HYDE PARK, NY 11040
NEW HYDE PARK, NY 11040
NEW HYDE PARK, NY 11040
NEW HYDE PARK, NY 11040
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.
Which organization bills Medicare for Jacqueline Pandolfo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Pandolfo reassigns Medicare benefits to North Shore - Lij Medical PC (New Hyde Park, NY). The 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 Pandolfo'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 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.
# Jacqueline Pandolfo, FNP · NPI 1346579166
Family physician in New Hyde Park, New York. Individual provider, active in the CMS NPPES registry since December 8, 2009.
## Identity
- **NPI:** 1346579166 (Entity type: Individual)
- **Enumerated:** December 8, 2009
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F336097-1 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 269-01 76TH AVE, New Hyde Park, NY 11040
- **Phone:** (718) 470-3611 · **Fax:** (718) 343-2961
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York Downstate Medical Center, class of 2009
## Record status
- **NPPES last updated:** February 13, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1346579166) · Data from the CMS NPPES public registry.