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JACQUELYN KEYASKO NP
NPI 1861219883
Nurse Practitioner - Acute Care in New York, NY

Active since September 23, 2024PECOS Enrolled
325 W 15TH ST, NEW YORK, NY 10011(212) 604-6000 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 26, 2025, Sep 23, 2024 (2 updates tracked since 2024).

About Jacquelyn Keyasko Np NPPES

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

JACQUELYN KEYASKO NP (NPI 1861219883) is an individual acute care provider in New York, New York, licensed in New York (433073) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861219883
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameJACQUELYN KEYASKOCredential: NP
Location Address325 W 15TH STNew York, NY 10011-5903
Mailing Address150 E 42nd St Fl 10New York, NY 10017-5612 · (212) 987-3100
Phone(212) 604-6000
Sole ProprietorNo
Enumeration DateSeptember 23, 2024
Last NPPES UpdateMarch 26, 20252 updates tracked since enumeration
NPPES CertifiedMarch 26, 2025
✔ NPI 1861219883 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 · 433073
325 W 15TH ST, New York, NY 10011
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacquelyn Keyasko Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Jacquelyn Keyasko reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Icahn School Of Medicine At Mount Sinai
4.3 mi
Hematology & Oncology
1 GUSTAVE L LEVY PL
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 275 clinicians in this Medicare group
NPI 1750649612 (212) 241-6756

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 10011 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

DR. LUIS GABRIEL RIVERA SANCHEZ M.D.
Surgery (Surgical Oncology)
325 W 15TH ST
NEW YORK, NY 10011
New York County (212) 604-6000
ALEXIS WEINMAN OHARA AGACNP-BC
Nurse Practitioner (Acute Care)
325 W 15TH ST
NEW YORK, NY 10011
New York County (516) 695-6261
DR. BETH POPP M.D.
Internal Medicine (Hospice and Palliative Medicine)
325 W 15TH ST
NEW YORK, NY 10011
New York County (212) 844-1712
MRS. MICHELLE AMY ABRAHAM LCSW
Social Worker (Clinical)
325 W 15TH ST
NEW YORK, NY 10011
New York County (212) 604-6098
RIMA PATEL MD
Internal Medicine (Medical Oncology)
325 W 15TH ST
NEW YORK, NY 10011
New York County (212) 604-6000
DANIEL LAPOOK LMSW
Social Worker
325 W 15TH ST
NEW YORK, NY 10011
New York County (212) 604-6097
THERESA HUA SHAO MD
Internal Medicine (Hematology & Oncology)
325 W 15TH ST
NEW YORK, NY 10011
New York County (212) 604-6058
DR. NICHOLAS COLE ROHS M.D.
Internal Medicine (Medical Oncology)
325 W 15TH ST
NEW YORK, NY 10011
New York County (212) 604-6017

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 Jacquelyn Keyasko's NPI number?

The NPI number for Jacquelyn Keyasko is 1861219883. It was assigned to this individual provider in the NPPES registry on September 23, 2024.

Where is Jacquelyn Keyasko located?

Jacquelyn Keyasko practices at 325 W 15th St, New York, NY 10011. The listed phone number is (212) 604-6000.

What is Jacquelyn Keyasko's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jacquelyn Keyasko enrolled in Medicare?

Yes. Jacquelyn Keyasko is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacquelyn Keyasko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Keyasko reassigns Medicare benefits to Icahn School Of Medicine At Mount Sinai (New York, 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 Jacquelyn Keyasko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacquelyn Keyasko was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.