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JACKLINE OTIENO FNP
NPI 1477481703
Nurse Practitioner - Family in Fuquay Varina, NC

Active since May 08, 2026PECOS Enrolled
793 AVERY POND DR, FUQUAY VARINA, NC 27526(201) 377-8121(201) 377-8121 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jackline Otieno Fnp NPPES

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

JACKLINE OTIENO FNP (NPI 1477481703) is an individual family provider in Fuquay Varina, North Carolina, licensed in North Carolina (5024407) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1477481703
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACKLINE OTIENOCredential: FNP
Location Address793 AVERY POND DRFuquay Varina, NC 27526-4520
Mailing Address793 Avery Pond DrFuquay Varina, NC 27526-4520 · (201) 377-8121 · Fax (201) 377-8121
Phone(201) 377-8121
Fax(201) 377-8121
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateMay 8, 2026
NPPES CertifiedMay 8, 2026
✔ NPI 1477481703 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 NC · 5024407
793 AVERY POND DR, Fuquay Varina, NC 27526
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackline Otieno Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123589199
PECOS Enrollment IDI20260910000665
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 27526 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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 Jackline Otieno's NPI number?

The NPI number for Jackline Otieno is 1477481703. It was assigned to this individual provider in the NPPES registry on May 8, 2026.

Where is Jackline Otieno located?

Jackline Otieno practices at 793 Avery Pond Dr, Fuquay Varina, NC 27526. The listed phone number is (201) 377-8121.

What is Jackline Otieno's specialty?

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

Is Jackline Otieno enrolled in Medicare?

Yes. Jackline Otieno is registered in the Medicare PECOS enrollment system.

What insurance does Jackline Otieno accept?

Health plans from Blue Cross and Blue Shield of NC list Jackline Otieno 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.

When was this NPI record last updated?

The NPPES record for Jackline Otieno was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.