JACLYNN A JACKUBOWSKI FNP
NPI 1427485945
Nurse Practitioner in Saint Joseph, MI

Q: What is Jaclynn Jackubowski's NPI number?

The NPI number for Jaclynn Jackubowski is 1427485945. It was assigned to this individual provider in the NPPES registry on September 29, 2013.

Q: What is Jaclynn Jackubowski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since September 29, 2013PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1234 NAPIER AVE, SAINT JOSEPH, MI 49085(269) 982-5864 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 24, 2024, Jul 10, 2017, Jan 10, 2017 (3 updates tracked since 2017).

On this page

About Jaclynn A Jackubowski Fnp NPPES

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

JACLYNN A JACKUBOWSKI FNP (NPI 1427485945) is an individual nurse practitioner in Saint Joseph, Michigan, licensed in Michigan (4704362045) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1427485945

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJACLYNN A JACKUBOWSKICredential: FNP

Location Address1234 NAPIER AVESaint Joseph, MI 49085-2112

Mailing Address1234 Napier AveSaint Joseph, MI 49085-2112

Phone(269) 982-5864

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateSeptember 29, 2013

Last NPPES UpdateJune 24, 20243 updates tracked since enumeration

NPPES CertifiedJune 24, 2024

✔ NPI 1427485945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MI · 4704362045

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209010632 (IL)

1234 NAPIER AVE, Saint Joseph, MI 49085

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jaclynn A Jackubowski 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.

PECOS PAC ID6406082593

PECOS Enrollment IDI20201216001497

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.

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.

106 services65 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.

29 services22 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

25 services17 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230021

Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County

Emergency services Birthing friendly

Corewell Health Watervliet Hospital

Acute Care Hospitals · Watervliet, MI

OwnershipVoluntary non-profit - Private

CMS Certification Number230078

Location400 Medical Park DrWatervliet, MI 49098 · Berrien County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49085 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 through an Alternative Payment Model

Quality

87.54

Promoting Interoperability

100

Improvement Activities

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.

HANY S MESIHA MD

Internal Medicine

1234 NAPIER AVE
SAINT JOSEPH, MI 49085

Berrien County (269) 983-8300

CORY MINIER SCHMIDT MD

Pediatrics

1234 NAPIER AVE
SAINT JOSEPH, MI 49085

Berrien County (269) 985-4632

JORDAN ANDERSON

Occupational Therapist

1234 NAPIER AVE
SAINT JOSEPH, MI 49085

Berrien County (269) 983-8332

DR. KAREN J DYER M.D.

Pediatrics

1234 NAPIER AVE
SAINT JOSEPH, MI 49085

Berrien County (269) 985-4632

MR. NATHAN JOHN JORDAN MD

Radiology (Diagnostic Radiology)

1234 NAPIER AVE
ST JOSEPH, MI 49085

Berrien County (269) 983-8300

DR. JAMES G. SISAMIS MD

Anesthesiology

1234 NAPIER AVE
SAINT JOSEPH, MI 49085

Berrien County (269) 428-0118

DR. DIEGO P BETITA MD

Anesthesiology

1234 NAPIER AVE
SAINT JOSEPH, MI 49085

Berrien County (269) 428-0118

DR. JESSICA LYNN HAMILL SCHINDLER D.O.

Emergency Medicine

1234 NAPIER AVE, LAKELAND REGIONAL MEDICAL CENTER
SAINT JOSEPH, MI 49085

Berrien County (269) 982-4941

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 Jaclynn Jackubowski's NPI number?

The NPI number for Jaclynn Jackubowski is 1427485945. It was assigned to this individual provider in the NPPES registry on September 29, 2013.

Where is Jaclynn Jackubowski located?

Jaclynn Jackubowski practices at 1234 Napier Ave, Saint Joseph, MI 49085. The listed phone number is (269) 982-5864.

What is Jaclynn Jackubowski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jaclynn Jackubowski enrolled in Medicare?

Yes. Jaclynn Jackubowski 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.

What insurance does Jaclynn Jackubowski accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Jaclynn Jackubowski 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.

Is Jaclynn Jackubowski affiliated with any hospitals?

According to CMS data, Jaclynn Jackubowski is affiliated with Lakeland Hospital, St Joseph and Corewell Health Watervliet Hospital.

When was this NPI record last updated?

The NPPES record for Jaclynn Jackubowski was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.