JACQUELINE INDRISEK PA
NPI 1427442011
Physician Assistant - Medical in Port Charlotte, FL

NPI Status: Active since March 23, 2015

Contact Information

22655 BAYSHORE RD STE 130
PORT CHARLOTTE, FL
ZIP 33980
Phone: (941) 255-3722
Fax: (941) 255-3723

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  • Individual
  • Female
  • Physician Assistant
  • Medical

About JACQUELINE INDRISEK

This page provides the complete NPI Profile along with additional information for Jacqueline Indrisek, a primary care provider established in Port Charlotte, Florida with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1427442011 assigned on March 2015. The practitioner's primary taxonomy code is 363AM0700X with license number PA9108209 (FL). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1427442011
Provider Name
JACQUELINE INDRISEK PA
Gender
Female
Entity Type
Individual
Location Address
22655 BAYSHORE RD STE 130 PORT CHARLOTTE, FL 33980
Location Phone
(941) 255-3722
Location Fax
(941) 255-3723
Mailing Address
PO BOX 2147 FORT MYERS, FL 33902
Mailing Phone
(941) 255-3722
Mailing Fax
(941) 255-3723
Is Sole Proprietor?
No
Enumeration Date
03-23-2015
Last Update Date
06-07-2023
Code Navigator

A primary care provider (PCP) like Jacqueline Indrisek sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 8260 Gladiolus Dr
    Fort Myers, FL 33908
    (239) 437-5755

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA9108209
License State
FL

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
014722900MEDICAID (05)FL 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1427442011, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
2
Doubled → 4
Pos 4
7
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
2
Doubled → 4
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 4 → 8 2 → 4 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 4 + 7 + 8 + 4 + 4 + 0 + 2 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1427442011.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Family)
22655 BAYSHORE RD STE 130
PORT CHARLOTTE, FL 33980

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427442011, enumerated as an "individual" on March 23, 2015.

The provider is located at 22655 BAYSHORE RD STE 130 PORT CHARLOTTE, FL 33980 and the phone number is (941) 255-3722.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.