1. Home
  2. Directory
  3. New York
  4. Utica
  5. Nurse Practitioner
  6. NPI Profile

MRS. STACEY JASKOLKA MSN, RN, NP-C
NPI 1922437805
Nurse Practitioner - Adult Health in Utica, NY

Active since November 01, 2013PECOS EnrolledAccepts Medicare Assignment
78.7/100
CMS Quality Rating
807 NEWELL ST, UTICA, NY 13502(315) 798-9300(315) 793-8320 Get Directions Write a Review

NPPES record last updated: April 8, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Stacey Jaskolka Msn, Rn, Np-c NPPES

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

MRS. STACEY JASKOLKA MSN, RN, NP-C (NPI 1922437805) is an individual adult health provider in Utica, New York, licensed in New York (306718) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1922437805
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. STACEY JASKOLKACredential: MSN, RN, NP-C
Location Address807 NEWELL STUtica, NY 13502-5313
Mailing Address807 Newell StUtica, NY 13502-5313 · (315) 798-9300 · Fax (315) 793-8320
Phone(315) 798-9300
Fax(315) 793-8320
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 1, 2013
Last NPPES UpdateApril 8, 2016
✔ NPI 1922437805 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
License✔ Licensed in NY · 306718
807 NEWELL ST, Utica, NY 13502
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Stacey Jaskolka Msn, Rn, Np-c 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 ID1254569890
PECOS Enrollment IDI20140106001017
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
390 services207 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
213 services120 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
22 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wynn Hospital

Acute Care Hospitals · Utica, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330044
Location111 Hospital DriveUtica, NY 13502 · Oneida County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13502 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.73
Promoting Interoperability99
Improvement Activities40
Cost42.38

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers27 claims2,128 services$0.65 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers14 claims14 services$17.56 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
4 suppliers25 claims25 services$12.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

DR. RUYN N CAVIC PH.D.
Counselor (Mental Health)
807 NEWELL ST
UTICA, NY 13502
Oneida County (315) 796-9636
ALICIA DETRAGLIA MD
Internal Medicine (Hematology & Oncology)
807 NEWELL ST
UTICA, NY 13502
Oneida County (315) 798-9300
DR. SAMIR DESAI MD
Internal Medicine (Hematology & Oncology)
807 NEWELL ST
UTICA, NY 13502
Oneida County (315) 798-9300
MISS WINDY G MITCHELL RPAC
Physician Assistant
807 NEWELL ST
UTICA, NY 13502
Oneida County (315) 798-9300
MRS. NDANDA ANNETTE MABHENA-OFORI RN, MSN, NP
Nurse Practitioner (Adult Health)
807 NEWELL ST
UTICA, NY 13502
Oneida County (315) 798-9300
MS. TANYA M MARR FNP
Nurse Practitioner (Family)
807 NEWELL ST
UTICA, NY 13502
Oneida County (315) 798-9300

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 Stacey Jaskolka's NPI number?

The NPI number for Stacey Jaskolka is 1922437805. It was assigned to this individual provider in the NPPES registry on November 1, 2013.

Where is Stacey Jaskolka located?

Stacey Jaskolka practices at 807 Newell St, Utica, NY 13502. The listed phone number is (315) 798-9300.

What is Stacey Jaskolka's specialty?

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

Is Stacey Jaskolka enrolled in Medicare?

Yes. Stacey Jaskolka 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.

Is Stacey Jaskolka affiliated with any hospitals?

According to CMS data, Stacey Jaskolka is affiliated with Wynn Hospital.

When was this NPI record last updated?

The NPPES record for Stacey Jaskolka was last updated on April 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.