JACQUELINE GRACE PAKULSKI
NPI 1598596256
Nurse Practitioner - Pediatrics in Detroit, MI

Q: What is Jacqueline Pakulski's NPI number?

The NPI number for Jacqueline Pakulski is 1598596256. It was assigned to this individual provider in the NPPES registry on August 13, 2024.

Q: What is Jacqueline Pakulski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Active since August 13, 2024PECOS EnrolledAccepts Medicare Assignment

3901 BEAUBIEN ST, DETROIT, MI 48201(313) 745-5437 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jacqueline Grace Pakulski NPPES

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

JACQUELINE GRACE PAKULSKI (NPI 1598596256) is an individual pediatrics provider in Detroit, Michigan, licensed in Michigan (4704342601) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1598596256

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameJACQUELINE GRACE PAKULSKI

Location Address3901 BEAUBIEN STDetroit, MI 48201-2196

Mailing Address6724 Buckland AveWest Bloomfield, MI 48324-2704 · (248) 719-8053

Phone(313) 745-5437

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 13, 2024

NPPES CertifiedAugust 13, 2024

✔ NPI 1598596256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in MI · 4704342601

3901 BEAUBIEN ST, Detroit, MI 48201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacqueline Grace Pakulski 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 ID7113452673

PECOS Enrollment IDI20241121001648

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 48201 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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 20

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

KAROLINA MAKSIMOWSKI

Pediatrics (Pediatric Emergency Medicine)