JACQUELINE INES PALMER CRNA
NPI 1457084931
Nurse Anesthetist, Certified Registered in Hackensack, NJ
About Jacqueline Ines Palmer Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE INES PALMER CRNA (NPI 1457084931) is an individual nurse anesthetist, certified registered in Hackensack, New Jersey, licensed in New Jersey (26NJ01346900) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jacqueline Ines Palmer Crna 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jacqueline Palmer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hackensack, NJ 07601
- Reassigned Medicare billing, New Jersey enrollment
- 781 clinicians in this Medicare group
New York, NY 10029
- Reassigned Medicare billing, New York enrollment
- 245 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hackensack University Medical Center
Acute Care Hospitals · Hackensack, NJNy Eye And Ear Infirmary Of Mount Sinai
Acute Care Hospitals · New York, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
HACKENSACK, NJ 07601
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 Palmer's NPI number?
The NPI number for Jacqueline Palmer is 1457084931. It was assigned to this individual provider in the NPPES registry on July 2, 2022.
Where is Jacqueline Palmer located?
Jacqueline Palmer practices at 30 Prospect Ave, Hackensack, NJ 07601. The listed phone number is (551) 996-2000.
What is Jacqueline Palmer's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jacqueline Palmer enrolled in Medicare?
Yes. Jacqueline Palmer 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.
Which organizations bill Medicare for Jacqueline Palmer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Palmer reassigns Medicare benefits to 2 organizations: New Jersey Healthcare Specialists PC (Hackensack, NJ) and Icahn School Of Medicine At Mount Sinai (New York, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Palmer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jacqueline Palmer affiliated with any hospitals?
According to CMS data, Jacqueline Palmer is affiliated with Hackensack University Medical Center and Ny Eye And Ear Infirmary Of Mount Sinai.
When was this NPI record last updated?
The NPPES record for Jacqueline Palmer was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Jacqueline Ines Palmer, CRNA · NPI 1457084931
Nurse Anesthetist, Certified Registered physician in Hackensack, New Jersey. Individual provider, active in the CMS NPPES registry since July 2, 2022.
## Identity
- **NPI:** 1457084931 (Entity type: Individual)
- **Enumerated:** July 2, 2022
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 26NJ01346900 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 30 PROSPECT AVE, Hackensack, NJ 07601-1915
- **Phone:** (551) 996-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): New Jersey Healthcare Specialists PC (NPI 1174585780, Hackensack, NJ); Icahn School Of Medicine At Mount Sinai (NPI 1447008446, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** March 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1457084931) · Data from the CMS NPPES public registry.