JACQUELYN ELMS RN
NPI 1548974058
Registered Nurse - Critical Care Medicine in Pittsburgh, PA

Active since January 09, 2023Accepts Medicare Assignment
3500 VICTORIA ST, PITTSBURGH, PA 15213(888) 747-0794 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacquelyn Elms Rn NPPES

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

JACQUELYN ELMS RN (NPI 1548974058) is an individual critical care medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (RN729156) and active in the NPI registry since January 2023. She is affiliated with Upmc Pinnacle Hospitals and is a graduate of Other (2025).

NPPES Registry Identity

NPI1548974058
Entity TypeIndividualFemale
Primary Taxonomy163WC0200X
Provider Legal NameJACQUELYN ELMSCredential: RN
Location Address3500 VICTORIA STPittsburgh, PA 15213-2543
Mailing Address123 Boothbay HbrBradfordwoods, PA 15015-1301 · (724) 992-9188
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 9, 2023
NPPES CertifiedJanuary 9, 2023
✔ NPI 1548974058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Critical Care MedicineNursing Service Providers
Taxonomy Code163WC0200X
License✔ Licensed in PA · RN729156
3500 VICTORIA ST, Pittsburgh, PA 15213

Other Names 1

Former Name (1)Jacquelyn Previty Rn

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

Jacquelyn Elms Rn 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 ID3375019151
PECOS Enrollment IDI20260420000500

Medicare Billing Reassignment

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

Anesthesiology
111 S FRONT ST
Harrisburg, PA 17101
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 394 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.

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

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.

Nurse Anesthetist, Certified Registered
3500 VICTORIA ST
PITTSBURGH, PA 15213
Registered Nurse (Critical Care Medicine)
3500 VICTORIA ST
PITTSBURGH, PA 15213
Registered Nurse (Critical Care Medicine)
3500 VICTORIA ST
PITTSBURGH, PA 15213
Registered Nurse (Critical Care Medicine)
3500 VICTORIA ST
PITTSBURGH, PA 15213
Registered Nurse
3500 VICTORIA ST
PITTSBURGH, PA 15213
Registered Nurse
3500 VICTORIA ST
PITTSBURGH, PA 15213
Registered Nurse
3500 VICTORIA ST
PITTSBURGH, PA 15213
Registered Nurse
3500 VICTORIA ST, VB 360A
PITTSBURGH, PA 15213

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 Jacquelyn Elms's NPI number?

The NPI number for Jacquelyn Elms is 1548974058. It was assigned to this individual provider in the NPPES registry on January 9, 2023. The provider is also known as Jacquelyn Previty Rn.

Where is Jacquelyn Elms located?

Jacquelyn Elms practices at 3500 Victoria St, Pittsburgh, PA 15213. The listed phone number is (888) 747-0794.

What is Jacquelyn Elms's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Critical Care Medicine, with taxonomy code 163WC0200X.

Is Jacquelyn Elms enrolled in Medicare?

Yes. Jacquelyn Elms 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 Jacquelyn Elms's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Elms reassigns Medicare benefits to Upmc Pinnacle Anesthesia Services, LLC (Harrisburg, PA). 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 Jacquelyn Elms's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jacquelyn Elms affiliated with any hospitals?

According to CMS data, Jacquelyn Elms is affiliated with Upmc Pinnacle Hospitals.

When was this NPI record last updated?

The NPPES record for Jacquelyn Elms was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.