JACLYN PAPPAS
NPI 1699206144
Nurse Practitioner - Family in Staten Island, NY

Q: What is Jaclyn Pappas's NPI number?

The NPI number for Jaclyn Pappas is 1699206144. It was assigned to this individual provider in the NPPES registry on March 27, 2017.

Q: What is Jaclyn Pappas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Pappas was last updated on March 27, 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.

Active since March 27, 2017PECOS EnrolledAccepts Medicare Assignment

1534 VICTORY BLVD, STATEN ISLAND, NY 10314(212) 724-7246 Get Directions Write a Review

NPPES record last updated: March 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jaclyn Pappas NPPES

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

JACLYN PAPPAS (NPI 1699206144) is an individual family provider in Staten Island, New York, licensed in New York (341340) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1699206144

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJACLYN PAPPAS

Location Address1534 VICTORY BLVDStaten Island, NY 10314-3548

Mailing Address1534 Victory BlvdStaten Island, NY 10314-3548

Phone(212) 724-7246

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 27, 2017

✔ NPI 1699206144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in NY · 341340

1534 VICTORY BLVD, Staten Island, NY 10314

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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

Jaclyn Pappas 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 ID2466988811

PECOS Enrollment IDI20241209001538

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 10314 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 20

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

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