MRS. JACQUELYNN A WHITE (R.N., M.S.N., N.P.) – Oncology Clinical Nurse Specialist, NPI 1194739896

MRS. JACQUELYNN A WHITE (R.N., M.S.N., N.P.) is a healthcare provider. based in Camden, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials R.N., M.S.N., N.P.. They hold a License No. 26NN10079400 (NJ). The NPI Number for MRS. JACQUELYNN A WHITE (R.N., M.S.N., N.P.) is 1194739896

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JACQUELYNN A WHITE (R.N., M.S.N., N.P.)
NPI
1194739896
Phone
(856) 963-3572
Address
401 HADDON AVE
Enumeration Date
28 July 2006
Last Update Date
7 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8563256750
Graduation Year
1996 (30 years ago)
PAC ID
7416130042
Group Practice PAC ID
2163335878
Professional Enrollment ID
I20110321000092
Address ID
NJ080434637VO900XXMXXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for MRS. JACQUELYNN A WHITE (R.N., M.S.N., N.P.)

  • 401, Haddon Avenue, Lanning Square, Whitman Park, Camden, Camden County, New Jersey, 08103, United States

    E&R BUILDING 270

    CAMDEN, NJ 081031505

    Phone: (856) 963-3572

    Fax: (856) 338-9211

    Type: Mailing

  • 2 Cooper Plz

    Camden, NJ 081031461

    Phone: (855) 632-2667

    Type: Location

  • 1 FEDERAL ST # 200

    CAMDEN, NJ 081031088

    Phone: (856) 356-4924

    Type: Mailing

  • 3, Cooper Plaza, Lanning Square, Camden, Camden County, New Jersey, 08103, United States

    SUITE 215

    CAMDEN, NJ 081031438

    Phone: (856) 963-2439

    Fax: (856) 338-9211

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $499.

Total Amount is formed as General ($499) + Research ($0) + Ownership ($0) = $499.

Last reported payment date: 2024-10-11 • Largest payer in this snapshot: Janssen Biotech, Inc. ($182).

Total Amount

$499

General + Research + Ownership

Payments

15

Total payment records

General Amount

$499

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-03-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110321000092INurse PractitionerNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes13949$0
99213Established patient office or other outpatient visit, 20-29 minutes2517$0
38222Biopsy and aspiration of bone marrow sample for diagnosis1313$0
View full utilization report →

Insurance plans in this area (ZIP 08103)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163335878View full group profile
NameSpecialtyState
Pulmonary Disease, Critical Care (Intensivists)NJ
-NJ
-NJ
Nurse PractitionerNJ
Physician AssistantNJ
Cardiovascular Disease (Cardiology)NJ
Physician AssistantPA
Nurse PractitionerNJ
Cardiovascular Disease (Cardiology)PA
Infectious Disease, Internal MedicinePA

Reviews

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Frequently asked questions

What NPI should I save for MRS. JACQUELYNN A WHITE (R.N., M.S.N., N.P.)?
Save NPI 1194739896 if you need a stable reference for MRS. JACQUELYNN A WHITE (R.N., M.S.N., N.P.).
Is MRS. JACQUELYNN A WHITE (R.N., M.S.N., N.P.) currently active in the NPI registry?
CMS-published data lists MRS. JACQUELYNN A WHITE (R.N., M.S.N., N.P.) as an active registrant.
What does MRS. JACQUELYNN A WHITE (R.N., M.S.N., N.P.) treat or focus on?
Patients typically see MRS. JACQUELYNN A WHITE (R.N., M.S.N., N.P.) under the specialty Oncology Clinical Nurse Specialist. Clinical services aligned with this taxonomy classification.
What location shows for MRS. JACQUELYNN A WHITE (R.N., M.S.N., N.P.)?
We surface Camden, New Jersey for MRS. JACQUELYNN A WHITE (R.N., M.S.N., N.P.) based on available NPPES addresses.
How can I contact MRS. JACQUELYNN A WHITE (R.N., M.S.N., N.P.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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