JACQUELYN ROBERTS (APN-C) – Critical Care Medicine Nurse Practitioner, NPI 1801858634

JACQUELYN ROBERTS (APN-C) is a healthcare provider. based in Sewell, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials APN-C. They hold a License No. 26NC09229000 (NJ). The NPI Number for JACQUELYN ROBERTS (APN-C) is 1801858634

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
JACQUELYN ROBERTS (APN-C)
NPI
1801858634
Phone
(856) 589-0300
Address
539 EGG HARBOR RD
Enumeration Date
5 April 2006
Last Update Date
29 February 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8565134124
Graduation Year
1991 (35 years ago)
PAC ID
5193900538
Group Practice PAC ID
6103257571
Professional Enrollment ID
I20110428000099
Address ID
NJ080963007DE1511XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

7,574 NURSE PRACTITIONER in NJ

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Provider Addresses for JACQUELYN ROBERTS (APN-C)

  • Poke Sewell, 300, Egg Harbor Road, Washington Township, Gloucester County, New Jersey, 08080, United States

    SEWELL, NJ 080802371

    Phone: (856) 589-0300

    Fax: (856) 589-1753

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-04-28

PECOS data refreshed: 2026-06-15

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
I20110428000099INurse 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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes495113$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes415126$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes351120$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes9987$0
99316Nursing facility discharge management, more than 30 minutes6363$0
View full utilization report →

Insurance plans in this area (ZIP 08080)

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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: 6103257571View full group profile
NameSpecialtyState
Nurse PractitionerPA
Nurse PractitionerNJ
Internal MedicineNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Internal MedicineNJ
Hospitalist, Internal Medicine, Internal MedicineNJ
Internal MedicineNJ
Nurse PractitionerNJ
Nurse PractitionerNJ

Reviews

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Frequently asked questions

What federal number belongs to JACQUELYN ROBERTS (APN-C)?
The federal identifier for JACQUELYN ROBERTS (APN-C) is NPI 1801858634.
Is JACQUELYN ROBERTS (APN-C) active in the national directory?
JACQUELYN ROBERTS (APN-C)'s public NPI profile is in an active state.
What kind of provider is JACQUELYN ROBERTS (APN-C)?
The page reflects Critical Care Medicine Nurse Practitioner for JACQUELYN ROBERTS (APN-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for JACQUELYN ROBERTS (APN-C)?
The page summarizes Sewell, New Jersey for JACQUELYN ROBERTS (APN-C); expand the address list for detail.
Is JACQUELYN ROBERTS (APN-C) a real provider?
This page reflects official NPPES data for NPI 1801858634. Always confirm identity and privileges with the practice and licensing boards.

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