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JACQUELINE FITZGERALD
NPI 1891501367
Nurse Practitioner - Family in West Lafayette, IN

Active since December 09, 2024PECOS Enrolled
909 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906(765) 463-6262(765) 463-9122 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 30, 2025, Apr 4, 2025, Mar 24, 2025 and 1 more (4 updates tracked since 2024).

About Jacqueline Fitzgerald NPPES

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

JACQUELINE FITZGERALD (NPI 1891501367) is an individual family provider in West Lafayette, Indiana, licensed in Indiana (71016397A) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lafayette.

NPPES Registry Identity

NPI1891501367
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACQUELINE FITZGERALD
Location Address909 SAGAMORE PKWY WWest Lafayette, IN 47906-1443
Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479
Phone(765) 463-6262
Fax(765) 463-9122
Sole ProprietorNo
Enumeration DateDecember 9, 2024
Last NPPES UpdateMay 30, 20254 updates tracked since enumeration
NPPES CertifiedMay 30, 2025
✔ NPI 1891501367 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
License✔ Licensed in IN · 71016397A
909 SAGAMORE PKWY W, West Lafayette, IN 47906
Open in Google Maps ↗

Secondary Practice Location 1

Location 13218 Daugherty DrLafayette, IN 47909-3997 · Phone (765) 607-0958

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Fitzgerald 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47906 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 8

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

MR. ZACHARY RYAN MEDO PA-C
Physician Assistant
909 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906
Tippecanoe County (765) 463-6262
TIBBETT JEANNE SMITH FNP
Nurse Practitioner (Family)
909 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906
Tippecanoe County (765) 463-6262
KISHAN B PATEL MD
Family Medicine
909 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906
Tippecanoe County (765) 463-6262
DR. KEITH W. MARCH MD
Family Medicine
909 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906
Tippecanoe County (765) 463-6262
KRISTEN DIANE LOUCK FNP
Nurse Practitioner (Family)
909 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906
Tippecanoe County (765) 463-6262
SKYLER GICK DO
Family Medicine (Sports Medicine)
909 SAGAMORE PKWY W
LAFAYETTE, IN 47906
Tippecanoe County (765) 463-6262
MRS. KATHERINE SZUMLANSKI YOUNG NP
Nurse Practitioner (Family)
909 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906
Tippecanoe County (765) 463-6262
ABBI MARIE PENA N.P.
Nurse Practitioner (Family)
909 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906
Tippecanoe County (765) 463-6262

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 Fitzgerald's NPI number?

The NPI number for Jacqueline Fitzgerald is 1891501367. It was assigned to this individual provider in the NPPES registry on December 9, 2024.

Where is Jacqueline Fitzgerald located?

Jacqueline Fitzgerald practices at 909 Sagamore Pkwy W, West Lafayette, IN 47906. The listed phone number is (765) 463-6262.

What is Jacqueline Fitzgerald's specialty?

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

Is Jacqueline Fitzgerald enrolled in Medicare?

Yes. Jacqueline Fitzgerald is registered in the Medicare PECOS enrollment system.

What insurance does Jacqueline Fitzgerald accept?

Health plans from CareSource list Jacqueline Fitzgerald 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 Fitzgerald was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.