Active NPI 1427485945 Individual Practitioner Female Practitioner

Jaclynn A Jackubowski , FNP

Nurse Practitioner • Saint Joseph, MI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Jaclynn Jackubowski, FNP is a certified Nurse Practitioner practicing in Saint Joseph, MI. With approximately 13 years of clinical experience since completing medical education in 2013, Jaclynn Jackubowski delivers high-quality medical care to the local community at 1234 NAPIER AVE.

Jaclynn Jackubowski maintains professional affiliations with Lakeland Medical Practices, Lakeland Hospitals At Niles And St Joseph Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, test for exercise-induced lung stress, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1234 Napier Ave

Saint Joseph, MI 490852112

Telephone 2699825864

Associated Practice Facility / Clinic

🏢 Sunset Coast Anesthesia Associates Pc Facility NPI 1053382572

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Saint Joseph, MI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs +3.0 yrs vs City Avg

City Avg: 10.0 Yrs

State Avg: 10.8 Yrs

Regional Practice Density

45 Specialists

Practicing in Saint Joseph, MI (3626 Statewide)

Telehealth Adoption Rate

26.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackubowski (13 Years) 13 Yrs

Saint Joseph Specialty Average (10.0 Years) 10.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	65	$256.00	$82.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	22	$345.00	$123.91
94618 Test for exercise-induced lung stress	25	17	$45.00	$18.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$392.00	$113.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	230	135	$247.00	$101.90
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	65	55	$30.00	$5.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$256.00	$79.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	186	151	$160.11	$73.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	135	112	$243.06	$104.41
93000 Routine ekg using at least 12 leads including interpretation and report	93	83	$60.37	$11.33
99213 Established patient office or other outpatient visit, typically 15 minutes	84	64	$160.00	$55.54
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	61	59	$29.00	$6.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	53	$97.00	$30.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	25	$240.00	$81.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$97.00	$46.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	233	163	$158.45	$56.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	229	195	$236.86	$106.28
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	121	118	$29.00	$6.95
93000 Routine ekg using at least 12 leads including interpretation and report	93	88	$59.23	$12.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	51	$237.09	$82.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	116	110	$157.49	$62.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	58	$249.00	$89.80
93000 Routine ekg using at least 12 leads including interpretation and report	44	42	$58.59	$13.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	207	169	$242.38	$90.01
99213 Established patient office or other outpatient visit, typically 15 minutes	132	116	$153.22	$61.29
81002 Urinalysis, manual test	31	27	$25.32	$3.41
G0008 Administration of influenza virus vaccine	12	12	$27.92	$15.85
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	12	12	$25.92	$18.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	43	43	$152.00	$59.09
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	22	14	$490.91	$106.67
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$100.00	$67.28
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	18	11	$683.33	$49.85
36471 Injection of chemical agent into multiple incompetent veins of leg	15	11	$560.00	$172.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	55	52	$150.00	$61.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$221.27	$94.22

Medical Specialties & State Licenses

CMS Verified: 2024-06-24

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MI 4704362045

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License IL 209010632

Definition to come...

Hospital & Practice Group Affiliations

Lakeland Hospitals At Niles And St Joseph Inc

61 N Saint Joseph Ave, Niles, MI 491202207

Phone: 2694282795

Lakeland Medical Practices

1234 Napier Ave, Saint Joseph, MI 490852112

Phone: 2699838300

Secondary Practice Locations

4789 Route 71

Oswego, IL 605437415

Phone: 6306925730

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners

Dr. Narayana Gandham , MD

Internal Medicine - Critical Care Medicine

NPI 1194179911

Doctor of Medicine (M.D.)

Dr. Shishir Ojha , MD

Internal Medicine - Pulmonary Disease

NPI 1225223803

Doctor of Medicine (M.D.)

Dr. Shawn Marein , DO

Internal Medicine - Pulmonary Disease

NPI 1265964878

Doctor of Osteopathic Medicine (D.O.)

Dr. Michael Burton , MD

Internal Medicine - Pulmonary Disease

NPI 1407160559

Doctor of Medicine (M.D.)

Patricia Mccarthy , FNP

Nurse Practitioner

NPI 1508140229

Family Nurse Practitioner

Dr. Jeffrey Grondin , MD

Internal Medicine - Pulmonary Disease

NPI 1942640180

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events

📍

Updated Practice Location June 24, 2024

Registered at 1234 NAPIER AVE, SAINT JOSEPH, MI 490852112 (Tel: 2699825864)

📍

Updated Business Mailing Address June 24, 2024

Registered at 1234 NAPIER AVE, SAINT JOSEPH, MI 490852112

✅

NPI Profile Active July 10, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address July 10, 2017

Registered at 1256 WATERFORD DRIVE, SUITE 230, AURORA, IL 60504 (Tel: 6304992404)

📍

Updated Practice Location July 10, 2017

Registered at 4789 ROUTE 71, OSWEGO, IL 605437415 (Tel: 6306925730)

👤

Provider Name / Credentials Updated July 10, 2017

Recorded as JACLYNN JACKUBOWSKI, FNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2017

Nurse Practitioner (License #209010632 in IL)

📍

Updated Practice Location January 10, 2017

Registered at 4789 ROUTE 71, OSWEGO, IL 605437415 (Tel: 6306925730)

📍

Updated Business Mailing Address January 10, 2017

Registered at 2040 OGDEN AVE, SUITE 313, AURORA, IL 605047206 (Tel: 6304992404)

✅

NPI Profile Active September 29, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location September 29, 2013

Registered at 16760 W DIVISION ST, LOCKPORT, IL 604414601 (Tel: 8663892727)

📍

Updated Business Mailing Address September 29, 2013

Registered at 226 SANTOS AVE, MINOOKA, IL 604479356 (Tel: 8155847904)

👤

Provider Name / Credentials Updated September 29, 2013

Recorded as JACLYNN JACKUBOWSKI, FNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2013

Nurse Practitioner (License #209010632 in IL)

🟢

Initial NPI Registration & Enumeration September 29, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1427485945

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 29, 2013

Last Update: June 24, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1234 Napier Ave

Saint Joseph, MI 490852112

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.