JACQUELINE E. SCALISSI CRNA
NPI 1477826311
Nurse Anesthetist, Certified Registered in Loves Park, IL
About Jacqueline E. Scalissi Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE E. SCALISSI CRNA (NPI 1477826311) is an individual nurse anesthetist, certified registered in Loves Park, Illinois, licensed in Illinois (209.010531) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS, is affiliated with Uw Health, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
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 E. Scalissi 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 Reassignment
Medicare enrollment records show Jacqueline Scalissi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Loves Park, IL 61111
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Rockford Anesthesiologists Associated LLC
- 46 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Uw Health
Acute Care Hospitals · Rockford, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
LOVES PARK, IL 61111
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 Scalissi's NPI number?
The NPI number for Jacqueline Scalissi is 1477826311. It was assigned to this individual provider in the NPPES registry on February 22, 2012. The provider is also known as Jacqueline E Bertucci.
Where is Jacqueline Scalissi located?
Jacqueline Scalissi practices at 2202 Harlem Rd Suite 200, Loves Park, IL 61111. The listed phone number is (815) 877-4848.
What is Jacqueline Scalissi's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jacqueline Scalissi enrolled in Medicare?
Yes. Jacqueline Scalissi 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 organization bills Medicare for Jacqueline Scalissi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Scalissi reassigns Medicare benefits to Rockford Anesthesiologists Associated, L.L.C. (Loves Park, IL). The 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 Scalissi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jacqueline Scalissi affiliated with any hospitals?
According to CMS data, Jacqueline Scalissi is affiliated with Uw Health.
When was this NPI record last updated?
The NPPES record for Jacqueline Scalissi was last updated on July 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Jacqueline E. Scalissi, CRNA · NPI 1477826311
Nurse Anesthetist, Certified Registered physician in Loves Park, Illinois. Individual provider, active in the CMS NPPES registry since February 22, 2012.
## Identity
- **NPI:** 1477826311 (Entity type: Individual)
- **Enumerated:** February 22, 2012
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 209.010531 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 2202 HARLEM RD, SUITE 200, Loves Park, IL 61111-2754
- **Phone:** (815) 877-4848 · **Fax:** (815) 654-5342
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** Rockford Anesthesiologists Associated, L.L.C. (NPI 1629090642, Loves Park, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** July 16, 2014
- **Other identifiers:** Medicare PIN F400092271
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Source: [NPI Profile](https://npiprofile.com/npi/1477826311) · Data from the CMS NPPES public registry.