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EDELQUINNE ANN JACILDO
NPI 1639893274
Nurse Practitioner - Psychiatric/Mental Health in Marlton, NJ

Active since September 28, 2022PECOS Enrolled
106 CENTRE BLVD STE G, MARLTON, NJ 08053(856) 797-2810 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 4, 2022, Sep 28, 2022 (2 updates tracked since 2022).

About Edelquinne Ann Jacildo NPPES

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

EDELQUINNE ANN JACILDO (NPI 1639893274) is an individual psychiatric/mental health provider in Marlton, New Jersey, licensed in New Jersey (26NJ01373900) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1639893274
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameEDELQUINNE ANN JACILDO
Location Address106 CENTRE BLVD STE GMarlton, NJ 08053-4131
Mailing Address106 Centre Blvd Ste GMarlton, NJ 08053-4131
Phone(856) 797-2810
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 28, 2022
Last NPPES UpdateOctober 4, 20222 updates tracked since enumeration
NPPES CertifiedOctober 4, 2022
✔ NPI 1639893274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NJ · 26NJ01373900
106 CENTRE BLVD STE G, Marlton, NJ 08053
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edelquinne Ann Jacildo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830569615
PECOS Enrollment IDI20230112001979
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 Edelquinne Jacildo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New Age Behavioral PC
Same address
Psychiatric/Mental Health
106 CENTRE BLVD, SUITE G
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 5 clinicians in this Medicare group
NPI 1689089344 (856) 797-2810

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08053 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

NATALIE CARISA EISENHOWER APN
Nurse Practitioner (Psychiatric/Mental Health)
106 CENTRE BLVD STE G
MARLTON, NJ 08053
Burlington County (856) 797-2810

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 Edelquinne Jacildo's NPI number?

The NPI number for Edelquinne Jacildo is 1639893274. It was assigned to this individual provider in the NPPES registry on September 28, 2022.

Where is Edelquinne Jacildo located?

Edelquinne Jacildo practices at 106 Centre Blvd Ste G, Marlton, NJ 08053. The listed phone number is (856) 797-2810.

What is Edelquinne Jacildo's specialty?

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

Is Edelquinne Jacildo enrolled in Medicare?

Yes. Edelquinne Jacildo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Edelquinne Jacildo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edelquinne Jacildo reassigns Medicare benefits to New Age Behavioral PC (Marlton, NJ). 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 Edelquinne Jacildo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Edelquinne Jacildo was last updated on October 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.