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JACKLYN ELYSE DELZOTTO FNP
NPI 1528670965
Nurse Practitioner - Family in Schenectady, NY

Active since August 18, 2020PECOS Enrolled
100/100
CMS Quality Rating
700 MCCLELLAN ST STE 101, SCHENECTADY, NY 12304(518) 371-4614(518) 371-1014 Get Directions Write a Review

NPPES record last updated: August 18, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jacklyn Elyse Delzotto Fnp NPPES

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

JACKLYN ELYSE DELZOTTO FNP (NPI 1528670965) is an individual family provider in Schenectady, New York, licensed in New York (346046) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with St Mary's Healthcare, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1528670965
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACKLYN ELYSE DELZOTTOCredential: FNP
Location Address700 MCCLELLAN ST STE 101Schenectady, NY 12304-1084
Mailing Address73 Snowberry RdBallston Spa, NY 12020-4463 · (518) 210-1310
Phone(518) 371-4614
Fax(518) 371-1014
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 18, 2020
NPPES CertifiedAugust 18, 2020
✔ NPI 1528670965 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 NY · 346046
700 MCCLELLAN ST STE 101, Schenectady, NY 12304
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacklyn Elyse Delzotto Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507286895
PECOS Enrollment IDI20201027001100
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 Jacklyn Delzotto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mondragon Mcgrinder Medical Associates PLLC
Same address
Obstetrics & Gynecology
700 MCCLELLAN ST, SUITE 101
Schenectady, NY 12304
  • Reassigned Medicare billing, New York enrollment
  • 15 clinicians in this Medicare group
NPI 1184634297 (518) 374-9153

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 6

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.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
37 services36 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services23 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
18 services18 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services14 patients
Wet mounts, including preparations of vaginal, cervical or skin specimens Q0111
Wet mounts are lab tests that help analyze certain types of samples from your body. This could include samples from skin or other areas. The sample is placed on a glass slide and examined under a microscope to identify any potential issues. It's a simple, quick, and painless procedure.
13 services13 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

St Mary's Healthcare

Acute Care Hospitals · Amsterdam, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330047
Location427 Guy Park AvenueAmsterdam, NY 12010 · Montgomery County
Emergency services Birthing friendly

Ellis Hospital

Acute Care Hospitals · Schenectady, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330153
Location1101 Nott StreetSchenectady, NY 12308 · Schenectady County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12304 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost100

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 Jacklyn Delzotto's NPI number?

The NPI number for Jacklyn Delzotto is 1528670965. It was assigned to this individual provider in the NPPES registry on August 18, 2020.

Where is Jacklyn Delzotto located?

Jacklyn Delzotto practices at 700 Mcclellan St Ste 101, Schenectady, NY 12304. The listed phone number is (518) 371-4614.

What is Jacklyn Delzotto's specialty?

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

Is Jacklyn Delzotto enrolled in Medicare?

Yes. Jacklyn Delzotto is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacklyn Delzotto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacklyn Delzotto reassigns Medicare benefits to Mondragon Mcgrinder Medical Associates PLLC (Schenectady, NY). 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 Jacklyn Delzotto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jacklyn Delzotto affiliated with any hospitals?

According to CMS data, Jacklyn Delzotto is affiliated with St Mary's Healthcare and Ellis Hospital.

When was this NPI record last updated?

The NPPES record for Jacklyn Delzotto was last updated on August 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.