MRS. JACQUELINE SEPTIMO ROLDAN MSN, AGACNP-BC, CCRN
NPI 1801611777
Nurse Practitioner - Acute Care in Bronx, NY
About Mrs. Jacqueline Septimo Roldan Msn, Agacnp-bc, Ccrn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JACQUELINE SEPTIMO ROLDAN MSN, AGACNP-BC, CCRN (NPI 1801611777) is an individual acute care provider in Bronx, New York, licensed in New York (432065) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS, is affiliated with Lincoln Medical & Mental Health Center, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Jacqueline Septimo Roldan Msn, Agacnp-bc, Ccrn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jacqueline Roldan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bronx, NY 10454
- Reassigned Medicare billing, New York enrollment
- 1,615 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lincoln Medical & Mental Health Center
Acute Care Hospitals · Bronx, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10451 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Roldan's NPI number?
The NPI number for Jacqueline Roldan is 1801611777. It was assigned to this individual provider in the NPPES registry on November 18, 2024.
Where is Jacqueline Roldan located?
Jacqueline Roldan practices at 234 E 149th St # 9A, Bronx, NY 10451. The listed phone number is (718) 579-4803.
What is Jacqueline Roldan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Jacqueline Roldan enrolled in Medicare?
Yes. Jacqueline Roldan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jacqueline Roldan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Roldan reassigns Medicare benefits to New York City Health And Hospitals Corporation (Bronx, NY). The 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 Roldan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jacqueline Roldan affiliated with any hospitals?
According to CMS data, Jacqueline Roldan is affiliated with Lincoln Medical & Mental Health Center.
When was this NPI record last updated?
The NPPES record for Jacqueline Roldan was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Mrs. Jacqueline Septimo Roldan, MSN, AGACNP-BC, CCRN · NPI 1801611777
Acute Care physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since November 18, 2024.
## Identity
- **NPI:** 1801611777 (Entity type: Individual)
- **Enumerated:** November 18, 2024
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 432065 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 234 E 149TH ST # 9A, Bronx, NY 10451-5504
- **Phone:** (718) 579-4803
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** New York City Health And Hospitals Corporation (NPI 1134137375, Bronx, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** November 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1801611777) · Data from the CMS NPPES public registry.