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JACQUELINE L ZIPAY CRNP
NPI 1831409226
Nurse Practitioner - Adult Health in Philadelphia, PA

Active since October 19, 2010PECOS EnrolledAccepts Medicare Assignment
3400 CIVIC CENTER BLVD., 4TH FLOOR - PERELMAN WEST, PHILADELPHIA, PA 19104(215) 615-7500(215) 592-6588 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jacqueline L Zipay Crnp NPPES

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

JACQUELINE L ZIPAY CRNP (NPI 1831409226) is an individual adult health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP010866) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1831409226
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJACQUELINE L ZIPAYCredential: CRNP
Location Address3400 CIVIC CENTER BLVD., 4TH FLOOR - PERELMAN WESTPhiladelphia, PA 19104-5127
Mailing Address3400 Civic Center Blvd., 4th Floor - Perelman WestPhiladelphia, PA 19104-5127 · (215) 615-7500 · Fax (215) 592-6588
Phone(215) 615-7500
Fax(215) 592-6588
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 19, 2010
Last NPPES UpdateApril 23, 2026
NPPES CertifiedApril 23, 2026
✔ NPI 1831409226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in PA · SP010866✔ Licensed in DE · LP-0011000✔ Licensed in NJ · 26NJ15561000
3400 CIVIC CENTER BLVD., Philadelphia, PA 19104
Open in Google Maps ↗

Other Names 1

Former Name (1)Jacqueline L Grafton Crnp

Other Identifiers 5

OtherNPIPA · Unitedhealthcare
OtherNPIPA · Bravo
Other30092161PA · Keystone Mercy
Other36300SP010866PA · Health Partners
Medicaid1025557320001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health.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 L Zipay Crnp 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 ID7618147299
PECOS Enrollment IDI20110909002727
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

3

Medicare enrollment records show Jacqueline Zipay reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Penn-Medical Group
Same address
Surgery
3400 CIVIC CENTER BLVD, 4 WEST PAVILLION
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Also billed through NPI 1003923707 (Pennsylvania)
  • 3,488 clinicians in this Medicare group
NPI 1033507157 (215) 662-2626
Methodist Associates In Healthcare, Inc
1.6 mi
Physical Medicine & Rehabilitation
1513 RACE ST
Philadelphia, PA 19102
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 600 clinicians in this Medicare group
NPI 1508516451 (215) 587-3406
Abington Memorial Hospital
17 mi
Surgery
225 NEWTOWN RD, 2ND FLOOR
Warminster, PA 18974
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 20 clinicians in this Medicare group
NPI 1710184023 (215) 441-6800

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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 20

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

MONA AL MUKADDAM MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3400 CIVIC CENTER BLVD., WEST PAVILION, 4TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2300
KATALIN SUSZTAK MD
Internal Medicine (Nephrology)
3400 CIVIC CENTER BLVD., 1ST FLOOR, SUITE 300 S
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2638
ILDIKO CSIKI MD
Radiology (Diagnostic Ultrasound)
3400 CIVIC CENTER BLVD., RAD ONC/TRC 2 WEST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2428
BRIAN CURRAN CAPELL MD
Dermatology
3400 CIVIC CENTER BLVD., 1-330S PERELMAN CENTER
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2737
DR. ALEXANDER LIN MD
Radiology (Radiation Oncology)
3400 CIVIC CENTER BLVD., CONCOURSE LEVEL
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2428
RENYU LIU MD
Anesthesiology
3400 CIVIC CENTER BLVD.
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8310
KRISTEN N KOBALY MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3400 CIVIC CENTER BLVD., WEST PAVILION 4TH FL, SUITE 4-900 W
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2300
KAITLIN ELIZABETH CIOTOLI CRNP
Nurse Practitioner (Women's Health)
3400 CIVIC CENTER BLVD.
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8310

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 Zipay's NPI number?

The NPI number for Jacqueline Zipay is 1831409226. It was assigned to this individual provider in the NPPES registry on October 19, 2010. The provider is also known as Jacqueline L Grafton Crnp.

Where is Jacqueline Zipay located?

Jacqueline Zipay practices at 3400 Civic Center Blvd. 4th Floor - Perelman West, Philadelphia, PA 19104. The listed phone number is (215) 615-7500.

What is Jacqueline Zipay's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jacqueline Zipay enrolled in Medicare?

Yes. Jacqueline Zipay 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 Zipay's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Zipay reassigns Medicare benefits to 3 organizations: University Of Penn-Medical Group (Philadelphia, PA), Methodist Associates In Healthcare, Inc (Philadelphia, PA) and Abington Memorial Hospital (Warminster, PA). 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 Zipay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Zipay accept?

Health plans from Ambetter Health and Ambetter from Buckeye Health Plan list Jacqueline Zipay 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 Zipay was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.