Mrs Jaclyn S Qualter, NP - Medicare Nurse Practitioner in Youngsville, NC

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Mrs Jaclyn S Qualter, NP is a medicare enrolled "Nurse Practitioner - Primary Care" in Youngsville, North Carolina. She went to Georgetown University School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 406 Us 1 Hwy Ste A, Youngsville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (199) 679-1880.

Mrs Jaclyn S Qualter is licensed to practice in North Carolina (license number 205035) 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 1174543730.

Contact Information

Mrs Jaclyn S Qualter, NP
406 Us 1 Hwy Ste A,
Youngsville, NC 27596-7847
(199) 679-1880
(800) 507-0902

Map and Direction




Provider's Profile

Full NameMrs Jaclyn S Qualter
GenderFemale
SpecialityNurse Practitioner
Experience19 Years
Location406 Us 1 Hwy Ste A, Youngsville, North Carolina
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 S Qualter attended and graduated from Georgetown University School Of Medicine in 2005
  NPI Data:
  • NPI Number: 1174543730
  • Provider Enumeration Date: 07/19/2006
  • Last Update Date: 08/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6002811841
  • Enrollment ID: I20060928000501

Medical Identifiers

Medical identifiers for Mrs Jaclyn S Qualter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174543730NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care 205035 (North Carolina)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. Mrs Jaclyn S Qualter allows following entities to bill medicare on her behalf.
Entity NameDlp Person Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275043481
PECOS PAC ID: 9032478698
Enrollment ID: O20180108000023
Entity NameLoginclinics Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003472804
PECOS PAC ID: 4385052562
Enrollment ID: O20210428001830

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 S Qualter 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 S Qualter, NP
406 Us 1 Hwy Ste A,
Youngsville, NC 27596-7847

Ph: (919) 679-1880		Mrs Jaclyn S Qualter, NP
406 Us 1 Hwy Ste A,
Youngsville, NC 27596-7847

Ph: (199) 679-1880

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).

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.