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JACLYN KAMIDOI
NPI 1992202998
Nurse Practitioner in Port Huron, MI

Active since April 07, 2018PECOS Enrolled
1201 STONE ST STE 5, PORT HURON, MI 48060(810) 966-9556 Get Directions Write a Review

NPPES record last updated: April 7, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jaclyn Kamidoi NPPES

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

JACLYN KAMIDOI (NPI 1992202998) is an individual nurse practitioner in Port Huron, Michigan, licensed in Michigan (18073090341) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992202998
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJACLYN KAMIDOI
Location Address1201 STONE ST STE 5Port Huron, MI 48060-3563
Mailing Address4200 Old Forge DrFort Gratiot, MI 48059-4030 · (586) 292-2012
Phone(810) 966-9556
Sole ProprietorNo
Enumeration DateApril 7, 2018
✔ NPI 1992202998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 18073090341
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1201 STONE ST STE 5, Port Huron, MI 48060
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Other Identifiers 1

Medicaid1538153176MI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaclyn Kamidoi 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 48060 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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

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

R S BALBOA MDPC
Internal Medicine
1201 STONE ST STE 5
PORT HURON, MI 48060
St. Clair County (810) 966-9556

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 Jaclyn Kamidoi's NPI number?

The NPI number for Jaclyn Kamidoi is 1992202998. It was assigned to this individual provider in the NPPES registry on April 7, 2018.

Where is Jaclyn Kamidoi located?

Jaclyn Kamidoi practices at 1201 Stone St Ste 5, Port Huron, MI 48060. The listed phone number is (810) 966-9556.

What is Jaclyn Kamidoi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jaclyn Kamidoi enrolled in Medicare?

Yes. Jaclyn Kamidoi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jaclyn Kamidoi was last updated on April 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.