JACQUELINE ELLA TERRINI PA
NPI 1508623463
Physician Assistant in Chicago, IL

Q: What is Jacqueline Terrini's NPI number?

The NPI number for Jacqueline Terrini is 1508623463. It was assigned to this individual provider in the NPPES registry on March 6, 2024. The provider is also known as Jacqueline Ella San Jule.

Q: What is Jacqueline Terrini's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since March 06, 2024PECOS EnrolledAccepts Medicare Assignment

676 N SAINT CLAIR ST STE 14-044, CHICAGO, IL 60611(312) 695-1800(312) 695-1394 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2026, Jul 8, 2024, Mar 6, 2024 (3 updates tracked since 2024).

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About Jacqueline Ella Terrini Pa NPPES

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

JACQUELINE ELLA TERRINI PA (NPI 1508623463) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085011816) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, is affiliated with Piedmont Newton Hospital, and is a graduate of Mercer University School Of Medicine (2024).

NPPES Registry Identity

NPI1508623463

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJACQUELINE ELLA TERRINICredential: PA

Location Address676 N SAINT CLAIR ST STE 14-044Chicago, IL 60611-2927

Mailing Address676 N Saint Clair St Ste 14-044Chicago, IL 60611-2927 · (312) 695-1800 · Fax (312) 695-1394

Phone(312) 695-1800

Fax(312) 695-1394

Sole ProprietorNo

Medical School CMSMercer University School Of MedicineGraduated 2024

Enumeration DateMarch 6, 2024

Last NPPES UpdateFebruary 6, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2026

✔ NPI 1508623463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in IL · 085011816✔ Licensed in GA · 12381

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

676 N SAINT CLAIR ST STE 14-044, Chicago, IL 60611

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Other Names 1

Former Name (1)Jacqueline Ella San Jule

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

Jacqueline Ella Terrini Pa 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 ID9830634526

PECOS Enrollment IDI20240717004765, I20260113001750

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.

Hospital Affiliations CMS Care Compare 4

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

Piedmont Newton Hospital

Acute Care Hospitals · Covington, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110018

Location5126 Hospital Drive NECovington, GA 30014 · Newton County

Emergency services Birthing friendly

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110083

Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County

Emergency services Birthing friendly

Piedmont Rockdale Hospital

Acute Care Hospitals · Conyers, GA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number110091

Location1412 Milstead Avenue, NEConyers, GA 30012 · Rockdale County

Birthing friendly

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140281

Location251 E Huron StChicago, IL 60611 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CODY KELLEY PA-C

Physician Assistant