Jacqueline Claire Velo

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

PA9117091 Issued in FL

Practice address

11030 Rca Center Dr Ste 3015
Palm Beach Gardens, FL 33410-4276

Phone

(561) 776-7041

NPI assigned

Feb 13, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

93.86 of 100Reported as group

Quality

87.73

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shapiro and Borenstein Dermatology LLP

  • Dermatology Physician
  • Palm Beach Gardens, FL
  • NPI 1639276694
  Medicare reassignment
• Palm Beach Gardens Regional Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Palm Beach Gardens, FL
  • NPI 1003205196
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1295432938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11030 RCA CENTER DR STE 3015",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104276",
            "telephone_number": "561-776-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11030 RCA CENTER DR STE 3015",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104276",
            "telephone_number": "561-776-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELO",
        "first_name": "JACQUELINE",
        "middle_name": "CLAIRE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "PA9117091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Velasco
• Daniela Velasquez
• Suleica Velasquez
• Louis A Velazquez, MD
• Stella I Velez, MA, ITDS, CFLE
• Gabriel A Veloz
• Maria Ventouris
• Claudia Alejandra Vera, PA-C
• Javier Verdin
• Ruby J Veress, LMT

• Dermatology Physician in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.