Jacqueline Mulder, - Medicare Nurse Anesthetist, Certified Registered in Saint Petersburg, FL

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Jacqueline Mulder, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Saint Petersburg, Florida. Her current practice location is 501 6th Ave S, Saint Petersburg, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 898-7451.

Jacqueline Mulder is licensed to practice in Florida (license number RN9448689) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1265187819.

Contact Information

Jacqueline Mulder,
501 6th Ave S,
Saint Petersburg, FL 33701-4634
(727) 898-7451
Not Available

Map and Direction




Provider's Profile

Full NameJacqueline Mulder
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location501 6th Ave S, Saint Petersburg, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265187819
  • Provider Enumeration Date: 02/12/2022
  • Last Update Date: 02/12/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3779966411
  • Enrollment ID: I20220813000084

Medical Identifiers

Medical identifiers for Jacqueline Mulder such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265187819NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN9448689 (Florida)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacqueline Mulder allows following entities to bill medicare on her behalf.
Entity NameSheridan Healthcorp Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629781711
PECOS PAC ID: 3173429693
Enrollment ID: O20031208000355
Entity NameJames G Hankerson Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235332354
PECOS PAC ID: 1254424955
Enrollment ID: O20070912000002
Entity NameFeinerman Anesthesia Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821327628
PECOS PAC ID: 2567598725
Enrollment ID: O20100327000275

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Mulder is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacqueline Mulder,
116 W Chelsea St,
Tampa, FL 33603-3621

Ph: (616) 299-5485		Jacqueline Mulder,
501 6th Ave S,
Saint Petersburg, FL 33701-4634

Ph: (727) 898-7451

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Saint Petersburg, FL

Alexa Blake Hartnett,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 701 6th St S, Saint Petersburg, FL 33701
Phone: 727-823-1234    
Mark Vandenlangenberg,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 10735 Village Club Cir N Apt 201, Saint Petersburg, FL 33716
Phone: 318-245-6766    
Mr. Gregory Marshall Morris, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 548 Boca Ciega Point Blvd S, Saint Petersburg, FL 33708
Phone: 727-418-9794    
Jelena Savic, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1200 7th Ave N, Saint Petersburg, FL 33705
Phone: 727-825-1100    
Alice Marie Norris, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 701 6th Ave South, Saint Petersburg, FL 33701
Phone: 727-823-1234    
Tatsiana Siniakova,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 6490 18th St N, Saint Petersburg, FL 33702
Phone: 786-247-9175    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.