Mrs Jaclyn Emma Ulzheimer, NP-C - Medicare Nurse Practitioner in Haledon, NJ

  1. Home
  2. Nurse Practitioner
  3. NJ
  4. Haledon
Mrs Jaclyn Emma Ulzheimer, NP-C is a medicare enrolled "Nurse Practitioner - Gerontology" in Haledon, New Jersey. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mpv New Jersey Md Services Pc and her current practice location is 397 Haledon Ave Ste 103, Haledon, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 782-4871.

Mrs Jaclyn Emma Ulzheimer is licensed to practice in New Jersey (license number AG01190175) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1730644873.

Contact Information

Mrs Jaclyn Emma Ulzheimer, NP-C
397 Haledon Ave Ste 103,
Haledon, NJ 07508-1551
(973) 782-4871
(973) 782-4873

Map and Direction




Provider's Profile

Full NameMrs Jaclyn Emma Ulzheimer
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location397 Haledon Ave Ste 103, Haledon, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Jaclyn Emma Ulzheimer graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1730644873
  • Provider Enumeration Date: 02/03/2019
  • Last Update Date: 04/05/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2860734332
  • Enrollment ID: I20190502001479

Medical Identifiers

Medical identifiers for Mrs Jaclyn Emma Ulzheimer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730644873NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health AG01190175 (New Jersey)Secondary
363LG0600XNurse Practitioner - Gerontology AG01190175 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Valley HospitalRidgewood, NJHospital
Hackensack Meridian Health Pascack Valley MedicalWestwood, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mpv New Jersey Md Services Pc5991097669145

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. Mrs Jaclyn Emma Ulzheimer allows following entities to bill medicare on her behalf.
Entity NameOptum Medical Care Of New Jersey Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578665048
PECOS PAC ID: 3072650290
Enrollment ID: O20091021000129
Entity NameMedical Associates Of Englewood Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952681918
PECOS PAC ID: 1355512252
Enrollment ID: O20110927000020
Entity NameMpv New Jersey Md Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215391271
PECOS PAC ID: 5991097669
Enrollment ID: O20160718000760

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. Mrs Jaclyn Emma Ulzheimer 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
Mrs Jaclyn Emma Ulzheimer, NP-C
16 Glen Pl,
Old Tappan, NJ 07675-6904

Ph: () -		Mrs Jaclyn Emma Ulzheimer, NP-C
397 Haledon Ave Ste 103,
Haledon, NJ 07508-1551

Ph: (973) 782-4871

Reviews and Comments


Nurse Practitioner Nurses in Haledon, NJ

Suzanna Christopher, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 380 Belmont Ave, Haledon, NJ 07508
Phone: 973-925-4850    

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.