JACOB EMANUEL BEVILACQUA RN, CRNA
NPI 1992048870
Nurse Anesthetist, Certified Registered in Camden, NJ

Active since March 29, 2013Accepts Medicare Assignment
1 COOPER PLZ, CAMDEN, NJ 08103(856) 342-2000 Get Directions Write a Review

NPPES record last updated: April 16, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jacob Emanuel Bevilacqua Rn, Crna NPPES

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

JACOB EMANUEL BEVILACQUA RN, CRNA (NPI 1992048870) is an individual nurse anesthetist, certified registered in Camden, New Jersey, licensed in New Jersey (26NR15502700) and active in the NPI registry since March 2013. He is affiliated with Marion Communtiy Hospital and is a graduate of Other (2009).

NPPES Registry Identity

NPI1992048870
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJACOB EMANUEL BEVILACQUACredential: RN, CRNA
Location Address1 COOPER PLZCamden, NJ 08103-1461
Mailing Address3 Cooper PlzCamden, NJ 08103-1438 · (856) 356-4935
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 29, 2013
Last NPPES UpdateApril 16, 2015
✔ NPI 1992048870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in NJ · 26NR15502700✔ Licensed in MA · RN2297562
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1 COOPER PLZ, Camden, NJ 08103

Other Identifiers 1

Medicare PINS400197853MA

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

Jacob Emanuel Bevilacqua Rn, Crna 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 ID4688809908
PECOS Enrollment IDI20200925000770

Medicare Billing Reassignments

3

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

Anesthesiology
60 MEMORIAL MEDICAL PKWY
Palm Coast, FL 32164
  • Reassigned Medicare billing, Florida enrollment
  • 1,973 clinicians in this Medicare group
Ophthalmology
3133 SW 32ND AVE
Ocala, FL 34474
  • Reassigned Medicare billing, Florida enrollment
  • 11 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
12117 CR 103
Oxford, FL 34484
  • Reassigned Medicare billing, Florida enrollment
  • 92 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.

Hospital Affiliations CMS Care Compare

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

Marion Communtiy Hospital

Acute Care Hospitals · Ocala, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100212
Location1431 SW 1st AveOcala, FL 34471 · Marion County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08103 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
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.

Emergency Medicine
1 COOPER PLZ
CAMDEN, NJ 08103
Nurse Anesthetist, Certified Registered
1 COOPER PLZ
CAMDEN, NJ 08103
Anesthesiology
1 COOPER PLZ
CAMDEN, NJ 08103
Hospitalist
1 COOPER PLZ, DORRANCE 222
CAMDEN, NJ 08103
Social Worker (Clinical)
1 COOPER PLZ
CAMDEN, NJ 08103
Nurse Practitioner
1 COOPER PLZ
CAMDEN, NJ 08103
Obstetrics & Gynecology
1 COOPER PLZ
CAMDEN, NJ 08103
Physician Assistant
1 COOPER PLZ
CAMDEN, NJ 08103

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 Jacob Bevilacqua's NPI number?

The NPI number for Jacob Bevilacqua is 1992048870. It was assigned to this individual provider in the NPPES registry on March 29, 2013.

Where is Jacob Bevilacqua located?

Jacob Bevilacqua practices at 1 Cooper Plz, Camden, NJ 08103. The listed phone number is (856) 342-2000.

What is Jacob Bevilacqua's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Jacob Bevilacqua enrolled in Medicare?

Yes. Jacob Bevilacqua 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 Jacob Bevilacqua's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Bevilacqua reassigns Medicare benefits to 3 organizations: Sheridan Healthcorp Inc (Palm Coast, FL), Central Florida Eye Institute Pl (Ocala, FL) and Solace Anesthesia, LLC (Oxford, 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 Jacob Bevilacqua's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Bevilacqua accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Jacob Bevilacqua 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.

Is Jacob Bevilacqua affiliated with any hospitals?

According to CMS data, Jacob Bevilacqua is affiliated with Marion Communtiy Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Bevilacqua was last updated on April 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.