Jacqueline Fitzgerald, in West Lafayette, IN - Medicare Nurse Practitioner

Jacqueline Fitzgerald, is a medicare enrolled "Nurse Practitioner - Family" in West Lafayette, Indiana. Her current practice location is 909 Sagamore Pkwy W, West Lafayette, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 463-6262.

Jacqueline Fitzgerald is licensed to practice in Indiana (license number 71016397A) 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 1891501367.

Contact Information

	Jacqueline Fitzgerald,
	909 Sagamore Pkwy W, West Lafayette, IN 47906-1443
	(765) 463-6262
	(765) 463-9122

Map and Direction

Provider's Profile

Full Name	Jacqueline Fitzgerald
Gender	Female
Speciality	Nurse Practitioner - Family
Location	909 Sagamore Pkwy W, West Lafayette, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891501367
Provider Enumeration Date: 12/09/2024
Last Update Date: 05/30/2025

Medicare PECOS Information:

PECOS PAC ID: 8426573080
Enrollment ID: I20250416003025

Medical Identifiers

Medical identifiers for Jacqueline Fitzgerald such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891501367	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71016397A (Indiana)	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 Fitzgerald allows following entities to bill medicare on her behalf.

Entity Name	Franciscan Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486

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 Fitzgerald 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 Address	Practice Location Address
Jacqueline Fitzgerald, Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800	Jacqueline Fitzgerald, 909 Sagamore Pkwy W, West Lafayette, IN 47906-1443 Ph: (765) 463-6262

Reviews and Comments

Nurse Practitioner Nurses in West Lafayette, IN

Laura L Wavra, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-463-6722 Fax: 765-463-0905
Marcia Ann Stroup, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 253 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-448-8000 Fax: 765-448-8227
Gayle Doll, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 512 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-497-3551
Mrs. Stephanie L. Davitto, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 Sagamore Pkwy West, West Lafayette, IN 47906 Phone: 765-463-6722 Fax: 765-463-0905
Yun Cai, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 Stadium Mall Dr, West Lafayette, IN 47907 Phone: 765-494-1700
Azza H Ahmed, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 502 N University St, West Lafayette, IN 47907 Phone: 765-494-4040
Leslie D Lester, MWNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 Stadium Mall Dr, West Lafayette, IN 47907 Phone: 765-494-1700 Fax: 765-496-1227

Jacqueline Fitzgerald, - Medicare Nurse Practitioner in West Lafayette, IN