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KRYSTYNA DE JACQ NP
NPI 1568790152
Nurse Practitioner - Psychiatric/Mental Health in Mamaroneck, NY

Active since November 20, 2009PECOS Enrolled
709 PALMER CT APT 2E, MAMARONECK, NY 10543(917) 513-0273 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Krystyna De Jacq Np NPPES

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

KRYSTYNA DE JACQ NP (NPI 1568790152) is an individual psychiatric/mental health provider in Mamaroneck, New York, licensed in New York (401238) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568790152
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKRYSTYNA DE JACQCredential: NP
Location Address709 PALMER CT APT 2EMamaroneck, NY 10543-2442
Mailing Address709 Palmer Ct Apt 2eMamaroneck, NY 10543-2442 · (917) 513-0273
Phone(917) 513-0273
Sole ProprietorNo
Enumeration DateNovember 20, 2009
Last NPPES UpdateApril 13, 2023
NPPES CertifiedApril 13, 2023
✔ NPI 1568790152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 401238
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 401238 (NY)
709 PALMER CT APT 2E, Mamaroneck, NY 10543
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krystyna De Jacq Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10543 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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

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

MAMARONECK NP IN PSYCHIATRY PLLC
Clinic/Center (Adult Mental Health)
709 PALMER CT APT 2E
MAMARONECK, NY 10543
Westchester County (917) 513-0273

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 Krystyna De Jacq's NPI number?

The NPI number for Krystyna De Jacq is 1568790152. It was assigned to this individual provider in the NPPES registry on November 20, 2009.

Where is Krystyna De Jacq located?

Krystyna De Jacq practices at 709 Palmer Ct Apt 2E, Mamaroneck, NY 10543. The listed phone number is (917) 513-0273.

What is Krystyna De Jacq's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Krystyna De Jacq enrolled in Medicare?

Yes. Krystyna De Jacq is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Krystyna De Jacq was last updated on April 13, 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.