JACLYN LEE CAKORA
NPI 1740154384
Nurse Practitioner - Family in Roanoke, IL

Q: What is Jaclyn Cakora's NPI number?

The NPI number for Jaclyn Cakora is 1740154384. It was assigned to this individual provider in the NPPES registry on October 4, 2025.

Q: What is Jaclyn Cakora'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 Cakora was last updated on October 4, 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.

Active since October 04, 2025PECOS EnrolledAccepts Medicare Assignment

401 N MAIN ST, ROANOKE, IL 61561(309) 923-2661 Get Directions Write a Review

NPPES record last updated: October 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jaclyn Lee Cakora NPPES

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

JACLYN LEE CAKORA (NPI 1740154384) is an individual family provider in Roanoke, Illinois, licensed in Illinois (209.033380) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1740154384

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJACLYN LEE CAKORA

Location Address401 N MAIN STRoanoke, IL 61561-7585

Mailing Address1318 Hilltop DrPekin, IL 61554-5361 · (309) 202-7810

Phone(309) 923-2661

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 4, 2025

NPPES CertifiedOctober 4, 2025

✔ NPI 1740154384 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 IL · 209.033380

401 N MAIN ST, Roanoke, IL 61561

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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 Lee Cakora 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 ID7719476845

PECOS Enrollment IDI20251029003083

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 61561 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

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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.

MRS. RACHEL NICOLE ANDERSON APP

Nurse Practitioner (Family)