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MISS JACQUELINE ELIZABETH NURSE NP
NPI 1689106254
Nurse Practitioner in Lake Mary, FL

Active since April 01, 2017PECOS EnrolledAccepts Medicare Assignment
652 CANYON STONE CIR, LAKE MARY, FL 32746(772) 333-4298 Get Directions Write a Review

NPPES record last updated: April 1, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Jacqueline Elizabeth Nurse Np NPPES

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

MISS JACQUELINE ELIZABETH NURSE NP (NPI 1689106254) is an individual nurse practitioner in Lake Mary, Florida, licensed in Florida (ARNP2784612) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1689106254
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMISS JACQUELINE ELIZABETH NURSECredential: NP
Location Address652 CANYON STONE CIRLake Mary, FL 32746-3978
Mailing Address652 Canyon Stone CirLake Mary, FL 32746-3978 · (772) 333-4298
Phone(772) 333-4298
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateApril 1, 2017
✔ NPI 1689106254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · ARNP2784612
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.
652 CANYON STONE CIR, Lake Mary, FL 32746
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Miss Jacqueline Elizabeth Nurse Np 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 ID1951678929
PECOS Enrollment IDI20170522002901
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100044
Location200 SE Hospital AveStuart, FL 34994 · Martin County
Emergency services Birthing friendly

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32746 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Nurse's NPI number?

The NPI number for Jacqueline Nurse is 1689106254. It was assigned to this individual provider in the NPPES registry on April 1, 2017.

Where is Jacqueline Nurse located?

Jacqueline Nurse practices at 652 Canyon Stone Cir, Lake Mary, FL 32746. The listed phone number is (772) 333-4298.

What is Jacqueline Nurse's specialty?

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

Is Jacqueline Nurse enrolled in Medicare?

Yes. Jacqueline Nurse 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 Nurse accept?

Health plans from UnitedHealthcare list Jacqueline Nurse 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.

Is Jacqueline Nurse affiliated with any hospitals?

According to CMS data, Jacqueline Nurse is affiliated with Cleveland Clinic Martin North Hospital and Cleveland Clinic.

When was this NPI record last updated?

The NPPES record for Jacqueline Nurse was last updated on April 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.