MRS. JACQUELYN ANNE BOTTICELLI N.P.
NPI 1356349740
Nurse Practitioner - Adult Health in Buffalo, NY

Q: What is Jacquelyn Botticelli's NPI number?

The NPI number for Jacquelyn Botticelli is 1356349740. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Q: What is Jacquelyn Botticelli's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Active since July 11, 2005PECOS Enrolled

60 INNSBRUCK DR, BUFFALO, NY 14227(716) 668-7051(716) 669-7069 Get Directions Write a Review

NPPES record last updated: March 11, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Jacquelyn Anne Botticelli N.p. NPPES

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

MRS. JACQUELYN ANNE BOTTICELLI N.P. (NPI 1356349740) is an individual adult health provider in Buffalo, New York, licensed in New York (30-304311) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356349740

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMRS. JACQUELYN ANNE BOTTICELLICredential: N.P.

Location Address60 INNSBRUCK DRBuffalo, NY 14227-2735

Mailing Address3332 Walden Ave., Suite 110Depew, NY 14043 · (716) 668-7051 · Fax (716) 669-7069

Phone(716) 668-7051

Fax(716) 669-7069

Sole ProprietorNo

Enumeration DateJuly 11, 2005

Last NPPES UpdateMarch 11, 2009

✔ NPI 1356349740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · 30-304311

60 INNSBRUCK DR, Buffalo, NY 14227

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Other Identifiers 3

Other9515444NY · Independent Health

Medicaid03061112NY

Medicare PINJ400001746

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jacquelyn Anne Botticelli N.p. 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 14227 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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 6

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

VIRGINIA MJ VALENTI

Nurse Practitioner (Family)