JACQUELINE STEPHANIE HIDALGO PSY-D
NPI 1952828832
Psychologist in Fort Myers, FL

Active since August 23, 2017PECOS EnrolledAccepts Medicare Assignment
2780 CLEVELAND AVE STE 709, FORT MYERS, FL 33901(239) 343-3831(239) 343-2301 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 25, 2021, Sep 11, 2020, Oct 16, 2017 and 2 more (5 updates tracked since 2017).

About Jacqueline Stephanie Hidalgo Psy-d NPPES

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

JACQUELINE STEPHANIE HIDALGO PSY-D (NPI 1952828832) is an individual psychologist in Fort Myers, Florida, licensed in Florida (PY9966) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1952828832
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJACQUELINE STEPHANIE HIDALGOCredential: PSY-D
Location Address2780 CLEVELAND AVE STE 709Fort Myers, FL 33901-5857
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-3831 · Fax (239) 343-2301
Fax(239) 343-2301
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 23, 2017
Last NPPES UpdateMarch 25, 20215 updates tracked since enumeration
NPPES CertifiedMarch 25, 2021
✔ NPI 1952828832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in FL · PY9966
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PY9966 (FL)
2780 CLEVELAND AVE STE 709, Fort Myers, FL 33901

Other Identifiers 1

Medicaid100459600FL

Accepted 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 Stephanie Hidalgo Psy-d 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 ID7113293317
PECOS Enrollment IDI20171016001384
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

2

Medicare enrollment records show Jacqueline Hidalgo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
2780 CLEVELAND AVE, SUITE 705
Fort Myers, FL 33901
  • Reassigned Medicare billing, Florida enrollment
  • 1,345 clinicians in this Medicare group
Internal Medicine
9981 S HEALTHPARK DR
Fort Myers, FL 33908
  • Reassigned Medicare billing, Florida enrollment
  • 1,899 clinicians in this Medicare group

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

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.

Family Medicine
2780 CLEVELAND AVE STE 709
FORT MYERS, FL 33901
Family Medicine
2780 CLEVELAND AVE STE 709
FORT MYERS, FL 33901
Family Medicine
2780 CLEVELAND AVE STE 709
FORT MYERS, FL 33901
Pediatrics (Adolescent Medicine)
2780 CLEVELAND AVE STE 709
FORT MYERS, FL 33901
Family Medicine
2780 CLEVELAND AVE STE 709
FORT MYERS, FL 33901
Student in an Organized Health Care Education/Training Program
2780 CLEVELAND AVE STE 709
FORT MYERS, FL 33901
Family Medicine
2780 CLEVELAND AVE STE 709
FORT MYERS, FL 33901
Student in an Organized Health Care Education/Training Program
2780 CLEVELAND AVE STE 709
FORT MYERS, FL 33901

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 Hidalgo's NPI number?

The NPI number for Jacqueline Hidalgo is 1952828832. It was assigned to this individual provider in the NPPES registry on August 23, 2017.

Where is Jacqueline Hidalgo located?

Jacqueline Hidalgo practices at 2780 Cleveland Ave Ste 709, Fort Myers, FL 33901. The listed phone number is (239) 343-3831.

What is Jacqueline Hidalgo's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jacqueline Hidalgo enrolled in Medicare?

Yes. Jacqueline Hidalgo 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 Hidalgo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Hidalgo reassigns Medicare benefits to 2 organizations: Lee Memorial Health System (Fort Myers, FL) and Lee Health System Inc (Fort Myers, FL). 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 Hidalgo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Hidalgo accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Jacqueline Hidalgo 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 Hidalgo was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.