DR. JACQUELINE KOSHOREK D.O
NPI 1346690252
Psychiatry & Neurology - Neurology in Phoenix, AZ

Q: What is Jacqueline Koshorek's NPI number?

The NPI number for Jacqueline Koshorek is 1346690252. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Q: What is Jacqueline Koshorek's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: Is Jacqueline Koshorek enrolled in Medicare?

No. Jacqueline Koshorek has opted out of Medicare through May 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Active since June 21, 2016Opted out of Medicare · through May 5, 2028

15255 N 40TH ST, SUITE 127/129, ROOM 1, PHOENIX, AZ 85032(602) 759-9438 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 27, 2026, Jun 21, 2016 (2 updates tracked since 2016).

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About Dr. Jacqueline Koshorek D.o NPPES

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

DR. JACQUELINE KOSHOREK D.O (NPI 1346690252) is an individual neurology provider in Phoenix, Arizona, licensed in Arizona (009660) and active in the NPI registry since June 2016. She has opted out of Medicare through May 5, 2028 and remains eligible to order and refer and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2016).

NPPES Registry Identity

NPI1346690252

Entity TypeIndividualFemale

Primary Taxonomy2084N0400X

Provider Legal NameDR. JACQUELINE KOSHOREKCredential: D.O

Location Address15255 N 40TH ST, SUITE 127/129, ROOM 1Phoenix, AZ 85032

Mailing Address3370 N Hayden Rd, Suite 123 Pmb 283Scottsdale, AZ 85251

Phone(602) 759-9438

Sole ProprietorNo

Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2016

Enumeration DateJune 21, 2016

Last NPPES UpdateMay 27, 20262 updates tracked since enumeration

NPPES CertifiedMay 27, 2026

✔ NPI 1346690252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in AZ · 009660

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

15255 N 40TH ST, Phoenix, AZ 85032

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jacqueline Koshorek D.o has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 5, 2026 through May 5, 2028.

Opt-Out Effective DateMay 5, 2026

Opt-Out In Effect ThroughMay 5, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

72 services42 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

22 services22 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

19 services17 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

17 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85032 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 11

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

ELITE MULTI SPECIALTY GROUP LLC

Family Medicine

15255 N 40TH ST
PHOENIX, AZ 85032

Maricopa County (646) 752-4685

DIANA M HERMAN M.D,

Obstetrics & Gynecology

15255 N 40TH ST, SUITE 105
PHOENIX, AZ 85032

Maricopa County (602) 867-2690

MRS. GRETCHEN L REINFELDT-GOODELL NP

Nurse Practitioner (Women's Health)

15255 N 40TH ST, SUITE 105
PHOENIX, AZ 85032

Maricopa County (602) 867-2690

LZ MANOV D.D.S. P.C.

Dentist

15255 N 40TH ST, SUITE 111
PHOENIX, AZ 85032

Maricopa County (602) 788-0730

DISCOUNT DRUGS

Pharmacy

15255 N 40TH ST, SUITE 155
PHOENIX, AZ 85032

Maricopa County (480) 314-0181

SACRED HEART FOUNDATION, INC

Hospice Care, Community Based

15255 N 40TH ST, SUITE 125
PHOENIX, AZ 85032

Maricopa County (602) 476-2047

AMSURG NORTH VALLEY ANESTHESIA LLC

Anesthesiology

15255 N 40TH ST, BLDG 8, SUITE 157
PHOENIX, AZ 85032

Maricopa County (602) 482-1011

SOUTHWEST INTERNAL MEDICINE GROUP

Clinic/Center (Primary Care)

15255 N 40TH ST, SUITE 127
PHOENIX, AZ 85032

Maricopa County (602) 253-0855

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 Koshorek's NPI number?

The NPI number for Jacqueline Koshorek is 1346690252. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Where is Jacqueline Koshorek located?

Jacqueline Koshorek practices at 15255 N 40th St Suite 127/129, Room 1, Phoenix, AZ 85032. The listed phone number is (602) 759-9438.

What is Jacqueline Koshorek's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Jacqueline Koshorek enrolled in Medicare?

No. Jacqueline Koshorek has opted out of Medicare through May 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Jacqueline Koshorek accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Jacqueline Koshorek as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacqueline Koshorek was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.