JACLYN MICHELE HIMELES MD
NPI 1780212977
Student in an Organized Health Care Education/Training Program in New York, NY
- Individual
- Female
- Student in an Organized Health Care Educ...
- PECOS Enrolled
- Opted-Out Medicare
About JACLYN HIMELES
This page provides the complete NPI Profile along with additional information for Jaclyn Himeles, a primary care provider established in New York, New York with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1780212977 assigned on April 2020. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1780212977 Verify this NPI
- Provider Name
- JACLYN MICHELE HIMELES MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 281 1ST AVE NEW YORK, NY 10003
- Location Phone
- (212) 420-3363
- Mailing Address
- 5 E 22ND ST APT 19S NEW YORK, NY 10010
- Mailing Phone
- (813) 245-2091
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-01-2020
- Last Update Date
- 06-15-2021
- Code Navigator
A primary care provider (PCP) like Jaclyn Himeles sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Jaclyn Himeles opted out of Medicare effective on 05-15-2025 until 05-15-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- Taxonomy Description
- 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.
Medicare Participation & PECOS Enrollment Status
Jaclyn Himeles is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 05-15-2025
Opt-Out End Date: 05-15-2027
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780212977, enumerated as an "individual" on April 01, 2020.
The provider is located at 281 1ST AVE NEW YORK, NY 10003 and the phone number is (212) 420-3363.
Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
