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JACQUELINE PELKA CNP
NPI 1528425675
Nurse Practitioner in Rocky River, OH

Active since January 20, 2016PECOS Enrolled
1250 LINDA ST, SUITE 103, ROCKY RIVER, OH 44116(440) 250-3560(330) 670-8569 Get Directions Write a Review

NPPES record last updated: September 16, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 16, 2016, Jan 20, 2016 (2 updates tracked since 2016).

About Jacqueline Pelka Cnp NPPES

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

JACQUELINE PELKA CNP (NPI 1528425675) is an individual nurse practitioner in Rocky River, Ohio, licensed in Ohio (APRN.CNP.18049) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528425675
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJACQUELINE PELKACredential: CNP
Location Address1250 LINDA ST, SUITE 103Rocky River, OH 44116-1853
Mailing Address1250 Linda St, Suite 103Rocky River, OH 44116-1853 · (440) 250-3560 · Fax (330) 670-8569
Phone(440) 250-3560
Fax(330) 670-8569
Sole ProprietorNo
Enumeration DateJanuary 20, 2016
Last NPPES UpdateSeptember 16, 20162 updates tracked since enumeration
✔ NPI 1528425675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OH · APRN.CNP.18049
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.
1250 LINDA ST, Rocky River, OH 44116
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Pelka Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline Pelka reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carelon Medical Partners, PC
451 mi
Hospice and Palliative Medicine
22 CENTURY BLVD STE 220
Nashville, TN 37214
  • Reassigned Medicare billing, Ohio enrollment
  • 88 clinicians in this Medicare group
NPI 1124443403 (615) 454-9850

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44116 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $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.

Other Providers at the Same Location NPPES 2

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

TRACY WATSON CNP
Nurse Practitioner (Acute Care)
1250 LINDA ST, SUITE 103
ROCKY RIVER, OH 44116
Cuyahoga County (440) 250-3560
SUMMER ALIA BLAIR ANP-BC
Nurse Practitioner (Adult Health)
1250 LINDA ST, SUITE 103
ROCKY RIVER, OH 44116
Cuyahoga County (440) 250-3560

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 Pelka's NPI number?

The NPI number for Jacqueline Pelka is 1528425675. It was assigned to this individual provider in the NPPES registry on January 20, 2016.

Where is Jacqueline Pelka located?

Jacqueline Pelka practices at 1250 Linda St Suite 103, Rocky River, OH 44116. The listed phone number is (440) 250-3560.

What is Jacqueline Pelka's specialty?

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

Is Jacqueline Pelka enrolled in Medicare?

Yes. Jacqueline Pelka is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacqueline Pelka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Pelka reassigns Medicare benefits to Carelon Medical Partners, PC (Nashville, TN). 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 Pelka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Pelka accept?

Health plans from CareSource list Jacqueline Pelka 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 Jacqueline Pelka was last updated on September 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.