JACLYN MICHELE HIMELES MD
NPI 1780212977
Student in an Organized Health Care Education/Training Program in New York, NY

Q: What is Jaclyn Himeles's NPI number?

The NPI number for Jaclyn Himeles is 1780212977. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Q: What is Jaclyn Himeles's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: Is Jaclyn Himeles enrolled in Medicare?

No. Jaclyn Himeles has opted out of Medicare through May 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Himeles was last updated on June 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 01, 2020Opted out of Medicare · through May 15, 2027

281 1ST AVE, NEW YORK, NY 10003(212) 420-3363 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 15, 2021, Apr 1, 2020 (2 updates tracked since 2020).

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About Jaclyn Michele Himeles Md NPPES

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

JACLYN MICHELE HIMELES MD (NPI 1780212977) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since April 2020. She has opted out of Medicare through May 15, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1780212977

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJACLYN MICHELE HIMELESCredential: MD

Location Address281 1ST AVENew York, NY 10003-2925

Mailing Address5 E 22nd St Apt 19sNew York, NY 10010-5327 · (813) 245-2091

Phone(212) 420-3363

Sole ProprietorYes

Enumeration DateApril 1, 2020

Last NPPES UpdateJune 15, 20212 updates tracked since enumeration

NPPES CertifiedJune 15, 2021

✔ NPI 1780212977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

281 1ST AVE, New York, NY 10003

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Jaclyn Michele Himeles Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 15, 2025 through May 15, 2027.

Opt-Out Effective DateMay 15, 2025

Opt-Out In Effect ThroughMay 15, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

MORGAN BOWLING D.O.

Pediatrics