Jacqueline Nicolas, FNP-C - Medicare Nurse Practitioner in New York, NY

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Jacqueline Nicolas, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in New York, New York. Her current practice location is 100 W 33rd St Ste 1019, New York, New York. You can reach out to her office (for appointments etc.) via phone at (212) 719-9600.

Jacqueline Nicolas is licensed to practice in New York (license number F339034-01) 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 1366848038.

Contact Information

Jacqueline Nicolas, FNP-C
100 W 33rd St Ste 1019,
New York, NY 10001-2974
(212) 719-9600
Not Available

Map and Direction




Provider's Profile

Full NameJacqueline Nicolas
GenderFemale
SpecialityNurse Practitioner - Family
Location100 W 33rd St Ste 1019, New York, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366848038
  • Provider Enumeration Date: 11/07/2014
  • Last Update Date: 04/15/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 2668759994
  • Enrollment ID: I20170515001418

Medical Identifiers

Medical identifiers for Jacqueline Nicolas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366848038NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F339034-01 (New York)Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health F408389-01 (New York)Secondary

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 Nicolas allows following entities to bill medicare on her behalf.
Entity Name54 Main Street Medical Practice Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386711497
PECOS PAC ID: 0244217511
Enrollment ID: O20040706000096
Entity NameChs Physician Partners Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124497771
PECOS PAC ID: 7618955667
Enrollment ID: O20040708000027
Entity NamePark Avenue Pediatrics Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699969543
PECOS PAC ID: 6507010592
Enrollment ID: O20130128000388
Entity Name2241 Medical Testing Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497566897
PECOS PAC ID: 8123919552
Enrollment ID: O20250325002380

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 Nicolas 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 Nicolas, FNP-C
160 E Sunrise Hwy # 1087,
Freeport, NY 11520-3945

Ph: () -		Jacqueline Nicolas, FNP-C
100 W 33rd St Ste 1019,
New York, NY 10001-2974

Ph: (212) 719-9600

Reviews and Comments


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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).

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