MRS. JACQUELINE SEPTIMO ROLDAN MSN, AGACNP-BC, CCRN
NPI 1801611777
Nurse Practitioner - Acute Care in Bronx, NY

Active since November 18, 2024PECOS Enrolled
234 E 149TH ST # 9A, BRONX, NY 10451(718) 579-4803 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1801611777
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMRS. JACQUELINE SEPTIMO ROLDANCredential: MSN, AGACNP-BC, CCRN
Location Address234 E 149TH ST # 9ABronx, NY 10451-5504
Mailing Address80 Lakeview AveHartsdale, NY 10530-2514 · (347) 836-1956
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 18, 2024
NPPES CertifiedNovember 17, 2024
NPI 1801611777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in NY · 432065
234 E 149TH ST # 9A, Bronx, NY 10451

Medicare Participation & PECOS CMS

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

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).

PECOS PAC ID547752958
PECOS Enrollment IDI20251124001234
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.

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, NY
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number330080
Location234 East 149th StreetBronx, NY 10451 · Bronx County
Emergency services Birthing friendly

Physician 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.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Nurse Practitioner (Family)
234 E 149TH ST # 9A
BRONX, NY 10451

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.

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 20 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.