NPIMap

Individual provider Active NPI

Jill Jacoski, APN

  • Acute Care Nurse Practitioner
  • Ocean, NJ
National Provider Identifier
1841549102
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
26NJ00393100 Issued in NJ
Practice address
301 Bingham Ave
Ocean, NJ 07712-4762
Phone
(732) 775-3916
NPI assigned
Sep 2, 2012
Last updated
Apr 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 26NJ00393100 NJ Primary
Emergency Registered Nurse 163WE0003X 26NR13921600 NJ

Addresses

Primary practice location

301 Bingham Ave
Ocean, NJ 07712-4762

Mailing address

11 Meridian Rd
Eatontown, NJ 07724-2242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120924000538 NJ Practitioner - Nurse Practitioner 0345498986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monmouth Cardiology Associates, LLCGroup PAC ID 6901881200, 43 clinicians

Practice addresses (Care Compare)

11 Meridian Rd
Eatontown, NJ 07724-2242
Phone (732) 663-0300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.83 of 100Reported as group
Quality
73.77
Promoting interoperability
95
Improvement activities
40
Cost
73.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NR13921600NJMDEmergency Registered Nurse

Organizations & group practices 1

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

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1346544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461715200000",
    "number": "1841549102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MERIDIAN RD",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BINGHAM AVE",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124762",
            "telephone_number": "732-775-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOSKI",
        "first_name": "JILL",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-02",
        "last_updated": "2016-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ00393100",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "NJ",
            "license": "26NR13921600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean, NJ

Sources for this page

Verify at the official NPI Registry.