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JACQUELINE ELISE APRN
NPI 1710444195
Nurse Practitioner - Psychiatric/Mental Health in Orange, CT

Active since February 21, 2019PECOS EnrolledAccepts Medicare Assignment
400 W CAMPUS DR, ORANGE, CT 06477(612) 298-3241 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 11, 2025, Oct 1, 2020, Feb 21, 2019 (3 updates tracked since 2019).

About Jacqueline Elise Aprn NPPES

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

JACQUELINE ELISE APRN (NPI 1710444195) is an individual psychiatric/mental health provider in Orange, Connecticut, licensed in Connecticut (15039) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (2025).

NPPES Registry Identity

NPI1710444195
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJACQUELINE ELISECredential: APRN
Location Address400 W CAMPUS DROrange, CT 06477-3646
Mailing Address400 W Campus DrOrange, CT 06477-3646 · (612) 298-3241
Phone(612) 298-3241
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2025
Enumeration DateFebruary 21, 2019
Last NPPES UpdateDecember 11, 20253 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
✔ NPI 1710444195 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 CT · 15039
400 W CAMPUS DR, Orange, CT 06477
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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

Jacqueline Elise Aprn 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 ID2961971411
PECOS Enrollment IDI20260514001573
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 06477 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

OLIVIA GLACKEN
Student in an Organized Health Care Education/Training Program
400 W CAMPUS DR
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 785-6437
SAMANTHA JADE MOFFETT RN
Nurse Practitioner (Psychiatric/Mental Health)
400 W CAMPUS DR
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 737-2357
KATHERINE SIEGEL APRN
Nurse Practitioner (Acute Care)
400 W CAMPUS DR
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 432-2700
MIKAYLA WALKER
Student in an Organized Health Care Education/Training Program
400 W CAMPUS DR
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 737-3068
SHELBY ROSE THOMASON RN
Student in an Organized Health Care Education/Training Program
400 W CAMPUS DR
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 785-6437
MEGHAN YOUSO
Student in an Organized Health Care Education/Training Program
400 W CAMPUS DR
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 785-2389
LEAH MATTIACCIO PMHNP-BC
Student in an Organized Health Care Education/Training Program
400 W CAMPUS DR
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 785-2389
PEGGY WONG
Student in an Organized Health Care Education/Training Program
400 W CAMPUS DR
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 432-2700

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 Elise's NPI number?

The NPI number for Jacqueline Elise is 1710444195. It was assigned to this individual provider in the NPPES registry on February 21, 2019.

Where is Jacqueline Elise located?

Jacqueline Elise practices at 400 W Campus Dr, Orange, CT 06477. The listed phone number is (612) 298-3241.

What is Jacqueline Elise's specialty?

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

Is Jacqueline Elise enrolled in Medicare?

Yes. Jacqueline Elise 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.

When was this NPI record last updated?

The NPPES record for Jacqueline Elise was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.