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MARIE JACQUES NP
NPI 1770839151
Nurse Practitioner - Family in Saint Albans, NY

Active since August 03, 2012PECOS EnrolledCLIA 33D2322919 · Waiver
20003 LINDEN BLVD, SAINT ALBANS, NY 11412(718) 525-5505 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marie Jacques Np NPPES

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

MARIE JACQUES NP (NPI 1770839151) is an individual family provider in Saint Albans, New York, licensed in New York (337440) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through March 26, 2027, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1770839151
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARIE JACQUESCredential: NP
Location Address20003 LINDEN BLVDSaint Albans, NY 11412-3223
Mailing Address1 Ford Dr SMassapequa, NY 11758-3717
Phone(718) 525-5505
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 3, 2012
Last NPPES UpdateOctober 15, 2024
NPPES CertifiedOctober 15, 2024
✔ NPI 1770839151 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 · 337440
20003 LINDEN BLVD, Saint Albans, NY 11412
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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 (PECOS)

Marie Jacques Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375075880
PECOS Enrollment IDI20241202002841
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2322919

Marie Jacques Npo In Family Health · Saint Albans, NY
Active · expires Mar 26, 2027
CLIA Number33D2322919
Laboratory TypePhysician Office
Certificate Effective DateApril 29, 2025
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorMarie Jacques
Laboratory Phone(516) 413-7946
Laboratory LocationMarie Jacques Npo In Family Health20003 Linden Blvd, Saint Albans, NY 11412
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11412 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

FAMILY HEALTH MEDICAL SERVICES, PC
Preferred Provider Organization
20003 LINDEN BLVD
SAINT ALBANS, NY 11412
Queens County (718) 525-5505

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 Marie Jacques's NPI number?

The NPI number for Marie Jacques is 1770839151. It was assigned to this individual provider in the NPPES registry on August 3, 2012.

Where is Marie Jacques located?

Marie Jacques practices at 20003 Linden Blvd, Saint Albans, NY 11412. The listed phone number is (718) 525-5505.

What is Marie Jacques's specialty?

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

Is Marie Jacques enrolled in Medicare?

Yes. Marie Jacques is registered in the Medicare PECOS enrollment system.

Does Marie Jacques hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2322919) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Marie Jacques was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.