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JACQUELINE M KELDERHOUSE FNP
NPI 1376628495
Nurse Practitioner - Family in Bronx, NY

Active since October 26, 2006PECOS Enrolled
100/100
CMS Quality Rating
1425 WALTON AVE, MONTEFIORE SCHOOL CLINIC, BRONX, NY 10452(718) 681-8088(718) 537-6015 Get Directions Write a Review

NPPES record last updated: March 19, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacqueline M Kelderhouse Fnp NPPES

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

JACQUELINE M KELDERHOUSE FNP (NPI 1376628495) is an individual family provider in Bronx, New York, licensed in New York (331520) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376628495
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACQUELINE M KELDERHOUSECredential: FNP
Location Address1425 WALTON AVE, MONTEFIORE SCHOOL CLINICBronx, NY 10452-6901
Mailing Address1425 Walton Ave, Montefiore School ClinicBronx, NY 10452-6901 · (718) 681-8088 · Fax (718) 537-6015
Phone(718) 681-8088
Fax(718) 537-6015
Sole ProprietorNo
Enumeration DateOctober 26, 2006
Last NPPES UpdateMarch 19, 2012
✔ NPI 1376628495 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 · 331520
1425 WALTON AVE, Bronx, NY 10452
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline M Kelderhouse Fnp 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 10452 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

MELINDA A. LANDO CPNP
Nurse Practitioner (Pediatrics)
1425 WALTON AVE, P.S. 64 SCHOOL BASED CLINICBRONXLEBANON HOSPITAL
BRONX, NY 10452
Bronx County (718) 293-0151
MONTEFIORE MEDICAL CENTER
Clinic/Center (Student Health)
1425 WALTON AVE
BRONX, NY 10452
Bronx County (718) 681-8088
MRS. SHIRAN NAGAR
Speech-Language Pathologist
1425 WALTON AVE
BRONX, NY 10452
Bronx County (187) 293-5970
JOSSY GRAMAJO
Student in an Organized Health Care Education/Training Program
1425 WALTON AVE
BRONX, NY 10452
Bronx County (718) 293-5970

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 Kelderhouse's NPI number?

The NPI number for Jacqueline Kelderhouse is 1376628495. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Jacqueline Kelderhouse located?

Jacqueline Kelderhouse practices at 1425 Walton Ave Montefiore School Clinic, Bronx, NY 10452. The listed phone number is (718) 681-8088.

What is Jacqueline Kelderhouse's specialty?

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

Is Jacqueline Kelderhouse enrolled in Medicare?

Yes. Jacqueline Kelderhouse is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacqueline Kelderhouse was last updated on March 19, 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.