JACQUELINE FARRELL PLOSZAK FNP-BC
NPI 1649678624
Nurse Practitioner in Charlotte, NC

Active since December 08, 2014PECOS EnrolledAccepts Medicare Assignment
4815 BEREWICK TOWN CENTER DR STE C&D, CHARLOTTE, NC 28278(980) 337-4652(980) 337-4653 Get Directions Write a Review

NPPES record last updated: July 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2021, Oct 25, 2020, Jan 9, 2020 (3 updates tracked since 2020).

About Jacqueline Farrell Ploszak Fnp-bc NPPES

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

JACQUELINE FARRELL PLOSZAK FNP-BC (NPI 1649678624) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5007369) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mint Hill, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1649678624
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJACQUELINE FARRELL PLOSZAKCredential: FNP-BC
Location Address4815 BEREWICK TOWN CENTER DR STE C&DCharlotte, NC 28278-6733
Mailing AddressPo Box 601843Charlotte, NC 28260-1843
Fax(980) 337-4653
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 8, 2014
Last NPPES UpdateJuly 14, 20213 updates tracked since enumeration
NPPES CertifiedJuly 14, 2021
NPI 1649678624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NC · 5007369
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 5007369 (NC)
4815 BEREWICK TOWN CENTER DR STE C&D, Charlotte, NC 28278

Secondary Practice Location 1

Location 111300 Cresthill Dr Ste 120Mint Hill, NC 28227-7924 · Phone (704) 438-9479 · Fax (704) 438-9478

Accepted 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 Farrell Ploszak Fnp-bc 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 ID5395060511
PECOS Enrollment IDI20150211000568
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
44 services35 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
27 services27 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
22 services21 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
15 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28278 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
67%92 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
51%121 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
31%133 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
47%75 patients2/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

Physician Assistant
4815 BEREWICK TOWN CENTER DR STE C&D
CHARLOTTE, NC 28278
Family Medicine
4815 BEREWICK TOWN CENTER DR STE C&D
CHARLOTTE, NC 28278
Nurse Practitioner
4815 BEREWICK TOWN CENTER DR STE C&D
CHARLOTTE, NC 28278

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 Jacqueline Ploszak's NPI number?

The NPI number for Jacqueline Ploszak is 1649678624. It was assigned to this individual provider in the NPPES registry on December 8, 2014.

Where is Jacqueline Ploszak located?

Jacqueline Ploszak practices at 4815 Berewick Town Center Dr Ste C&d, Charlotte, NC 28278. The listed phone number is (980) 337-4652.

What is Jacqueline Ploszak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jacqueline Ploszak enrolled in Medicare?

Yes. Jacqueline Ploszak 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.

What insurance does Jacqueline Ploszak accept?

Health plans from Blue Cross and Blue Shield of NC list Jacqueline Ploszak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacqueline Ploszak was last updated on July 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.