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MISS JACQUELYN LONGACRE PHYSICIAN ASSISTANT
NPI 1730749359
Physician Assistant in Stony Brook, NY

Active since June 17, 2019PECOS EnrolledAccepts Medicare Assignment
86.64/100
CMS Quality Rating
STONY BROOK CANCER CENTER -BREAST CARE CTR, LAUTERBUR DRIVE, STONY BROOK, NY 11794(631) 444-1795(631) 444-6348 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Jacquelyn Longacre Physician Assistant NPPES

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

MISS JACQUELYN LONGACRE PHYSICIAN ASSISTANT (NPI 1730749359) is an individual physician assistant in Stony Brook, New York, licensed in New York (027593) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of George Washington University School Of Medicine (2019).

NPPES Registry Identity

NPI1730749359
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMISS JACQUELYN LONGACRECredential: PHYSICIAN ASSISTANT
Location AddressSTONY BROOK CANCER CENTER -BREAST CARE CTR, LAUTERBUR DRIVEStony Brook, NY 11794-8191
Mailing AddressDivision Of Breast Surgery Department Of Surgery Health, Department Of Surgery Health Sciences Center T18-060Stony Brook, NY 11794-8191 · (631) 444-1795 · Fax (631) 444-6348
Phone(631) 444-1795
Fax(631) 444-6348
Sole ProprietorYes
Medical School CMSGeorge Washington University School Of MedicineGraduated 2019
Enumeration DateJune 17, 2019
Last NPPES UpdateSeptember 25, 2025
NPPES CertifiedSeptember 25, 2025
✔ NPI 1730749359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 027593
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
STONY BROOK CANCER CENTER -BREAST CARE CTR, Stony Brook, NY 11794
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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

Miss Jacquelyn Longacre Physician Assistant 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 ID2264760370
PECOS Enrollment IDI20211203001259
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.
51 services50 patients
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.
32 services30 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
30 services29 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
25 services24 patients

Hospital Affiliations CMS Care Compare

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 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
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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.

86.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.13
Promoting Interoperability74
Improvement Activities40

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 Jacquelyn Longacre's NPI number?

The NPI number for Jacquelyn Longacre is 1730749359. It was assigned to this individual provider in the NPPES registry on June 17, 2019.

Where is Jacquelyn Longacre located?

Jacquelyn Longacre practices at Stony Brook Cancer Center -Breast Care Ctr Lauterbur Drive, Stony Brook, NY 11794. The listed phone number is (631) 444-1795.

What is Jacquelyn Longacre's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jacquelyn Longacre enrolled in Medicare?

Yes. Jacquelyn Longacre 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.

Is Jacquelyn Longacre affiliated with any hospitals?

According to CMS data, Jacquelyn Longacre is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Jacquelyn Longacre was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.