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JACQUELINE HUANG LY APRN
NPI 1780318048
Nurse Practitioner - Family in Philadelphia, PA

Active since July 13, 2022PECOS EnrolledAccepts Medicare Assignment
432 N 6TH ST, PHILADELPHIA, PA 19123(215) 627-8000 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 9, 2024, Jul 13, 2022 (2 updates tracked since 2022).

About Jacqueline Huang Ly Aprn NPPES

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

JACQUELINE HUANG LY APRN (NPI 1780318048) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP030412) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1780318048
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACQUELINE HUANG LYCredential: APRN
Location Address432 N 6TH STPhiladelphia, PA 19123-4004
Mailing Address1401 S 31st St Fl 2Philadelphia, PA 19146-3506 · (215) 925-2400
Phone(215) 627-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 13, 2022
Last NPPES UpdateSeptember 9, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
✔ NPI 1780318048 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
Licenses✔ Licensed in PA · SP030412✔ Licensed in CT · 10712
432 N 6TH ST, Philadelphia, PA 19123
Open in Google Maps ↗

Secondary Practice Locations 2

Location 185 Lafayette StNew Britain, CT 06051-1803 · Phone (860) 224-3642
Location 21401 S 31st St Fl 2Philadelphia, PA 19146-3506 · Phone (215) 925-2400 ext. 1031

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacqueline Huang Ly Aprn 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 ID7810373594
PECOS Enrollment IDI20240913001551
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jacqueline Ly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Greater Philadelphia Health Action Inc.
Same address
Federally Qualified Health Center (FQHC)
432 N. 6TH STREET
Philadelphia, PA 19123
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 232 clinicians in this Medicare group
NPI 1689620171 (215) 627-8000
Community Health Center Inc
133 mi
Federally Qualified Health Center (FQHC)
41 NEW ST
Danbury, CT 06810
  • Reassigned Medicare billing, Connecticut enrollment
  • 390 clinicians in this Medicare group
NPI 1003332446 (203) 796-1661

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19123 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

QIN JIANG RDH, PHDHP
Dental Hygienist
432 N 6TH ST
PHILADELPHIA, PA 19123
Philadelphia County (215) 339-3000
ALICE SAMS
Counselor (Professional)
432 N 6TH ST
PHILADELPHIA, PA 19123
Philadelphia County (215) 925-2400
JOANNA SMUTZLER
Counselor (Professional)
432 N 6TH ST
PHILADELPHIA, PA 19123
Philadelphia County (215) 925-2400
MS. SHARON LUCIA CHEN DNP, MS, FNP-BC
Nurse Practitioner (Family)
432 N 6TH ST
PHILADELPHIA, PA 19123
Philadelphia County (215) 627-8000
DANA WHITE RDN, LDN
Dietitian, Registered
432 N 6TH ST
PHILADELPHIA, PA 19123
Philadelphia County (215) 627-8000
MRS. XUAN YANG FNP
Clinical Nurse Specialist (Family Health)
432 N 6TH ST
PHILADELPHIA, PA 19123
Philadelphia County (215) 627-8000
LEI O ZHANG M.D.
Internal Medicine
432 N 6TH ST
PHILADELPHIA, PA 19123
Philadelphia County (215) 627-8000
KIMBERLY BRIGGS
Counselor (Professional)
432 N 6TH ST
PHILADELPHIA, PA 19123
Philadelphia County (215) 925-2400

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 Jacqueline Ly's NPI number?

The NPI number for Jacqueline Ly is 1780318048. It was assigned to this individual provider in the NPPES registry on July 13, 2022.

Where is Jacqueline Ly located?

Jacqueline Ly practices at 432 N 6th St, Philadelphia, PA 19123. The listed phone number is (215) 627-8000.

What is Jacqueline Ly's specialty?

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

Is Jacqueline Ly enrolled in Medicare?

Yes. Jacqueline Ly 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.

Which organizations bill Medicare for Jacqueline Ly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Ly reassigns Medicare benefits to 2 organizations: Greater Philadelphia Health Action Inc. (Philadelphia, PA) and Community Health Center Inc (Danbury, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Ly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Ly accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Jacqueline Ly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacqueline Ly was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.