Jacqueline Anne Stewart, APRN is a medicare enrolled "Family Medicine" in Lincoln, Nebraska. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Vitalize Health Llc and her current practice location is
6030 Village Dr Ste 100, Lincoln, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 413-0417.
Jacqueline Anne Stewart is licensed to practice in Nebraska (license number 111074) 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 1881827129.
Provider's Profile
Full Name | Jacqueline Anne Stewart |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 15 Years |
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Location | 6030 Village Dr Ste 100, Lincoln, Nebraska |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jacqueline Anne Stewart graduated from nursing school in 2009
NPI Data:
- NPI Number: 1881827129
- Provider Enumeration Date: 09/03/2009
- Last Update Date: 06/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 3476694654
- Enrollment ID: I20100111000093
Medical Identifiers
Medical identifiers for Jacqueline Anne Stewart such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881827129 | NPI | - | NPPES |
47097 | Other | NE | BCBS NE |
47117 | Other | NE | BCBS NE - PRIMUS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 111074 (Nebraska) | Secondary |
207Q00000X | Family Medicine | 111074 (Nebraska) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Vitalize Health Llc | 8426483546 | 2 |
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 Anne Stewart allows following entities to bill medicare on her behalf.
Entity Name | Pine Lake Health, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417908666 PECOS PAC ID: 1557372919 Enrollment ID: O20060522000133 |
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Entity Name | Vitalize Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710540307 PECOS PAC ID: 8426483546 Enrollment ID: O20200120000450 |
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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 Anne Stewart 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 Address | Practice Location Address |
Jacqueline Anne Stewart, APRN 2611 S 70th St, Lincoln, NE 68506-2960 Ph: (402) 423-4200 | Jacqueline Anne Stewart, APRN 6030 Village Dr Ste 100, Lincoln, NE 68516-4773 Ph: (402) 413-0417 |
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