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JACQUELINE ORTIZ-SKENDERIDIS APRN
NPI 1720428949
Nurse Practitioner - Family in West Hartford, CT

Active since July 02, 2013PECOS EnrolledAccepts Medicare Assignment
12 N MAIN ST STE 110, WEST HARTFORD, CT 06107(860) 337-9800(860) 263-7329 Get Directions Write a Review

NPPES record last updated: August 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2021, Jan 21, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2018).

About Jacqueline Ortiz-skenderidis Aprn NPPES

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

JACQUELINE ORTIZ-SKENDERIDIS APRN (NPI 1720428949) is an individual family provider in West Hartford, Connecticut, licensed in Connecticut (5364) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1720428949
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACQUELINE ORTIZ-SKENDERIDISCredential: APRN
Location Address12 N MAIN ST STE 110West Hartford, CT 06107-1932
Mailing Address12 N Main St Ste 110West Hartford, CT 06107-1932 · (860) 337-9800 · Fax (860) 263-7329
Phone(860) 337-9800
Fax(860) 263-7329
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 2, 2013
Last NPPES UpdateAugust 13, 20214 updates tracked since enumeration
NPPES CertifiedAugust 13, 2021
✔ NPI 1720428949 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
Licenses✔ Licensed in CT · 5364✔ Licensed in CT · 005364
12 N MAIN ST STE 110, West Hartford, CT 06107
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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 Ortiz-skenderidis 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 ID446494454
PECOS Enrollment IDI20130912000728
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 06107 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

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

JOSCO MEDICAL GROUP LLC
Nurse Practitioner
12 N MAIN ST STE 110
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 337-9800

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 Ortiz-skenderidis's NPI number?

The NPI number for Jacqueline Ortiz-skenderidis is 1720428949. It was assigned to this individual provider in the NPPES registry on July 2, 2013.

Where is Jacqueline Ortiz-skenderidis located?

Jacqueline Ortiz-skenderidis practices at 12 N Main St Ste 110, West Hartford, CT 06107. The listed phone number is (860) 337-9800.

What is Jacqueline Ortiz-skenderidis's specialty?

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

Is Jacqueline Ortiz-skenderidis enrolled in Medicare?

Yes. Jacqueline Ortiz-skenderidis 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 Ortiz-skenderidis was last updated on August 13, 2021. 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.