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

Q: 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.

Q: 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.

Q: Is Krystyna De Jacq enrolled in Medicare?

No. Krystyna De Jacq has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: 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.

Active since November 20, 2009Opted out of Medicare · through Oct 1, 2026

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: August 16, 2026.

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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 has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

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

ⓘ

Opted out of Medicare

Krystyna De Jacq Np has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2016 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2016

Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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?

No. Krystyna De Jacq has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

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.