MS. JACQUELINE DESIREE JOSEPH (CRNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1003056888

MS. JACQUELINE DESIREE JOSEPH (CRNP) is a healthcare provider. based in E. stroudsburg, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 5727171 (NY). The NPI Number for MS. JACQUELINE DESIREE JOSEPH (CRNP) is 1003056888

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
MS. JACQUELINE DESIREE JOSEPH (CRNP)
NPI
1003056888
Phone
(570) 421-7688
Address
RR5 5419 DEERFIELD DR
Enumeration Date
6 March 2009
Last Update Date
16 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6105889109
Graduation Year
2020 (6 years ago)
PAC ID
5991186306
Group Practice PAC ID
5193034718
Professional Enrollment ID
I20220718000294
Address ID
PA180131901BA51XXXSTXX300
Telehealth
Yes

Contacts

Other Endpoint
REDCO
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness95
Years active:17State licenses:2Other names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for MS. JACQUELINE DESIREE JOSEPH (CRNP)

  • RR5 5419 DEERFIELD DR

    E. STROUDSBURG, PA 18301

    Phone: (570) 421-7688

    Type: Mailing

  • 7164 ROUTE 209

    STROUDSBURG, PA 183607108

    Phone: (570) 656-4254

    Fax: (570) 300-9204

    Type: Location

  • 116, North High Street, West Mount Vernon, City of Mount Vernon, Westchester County, New York, 10550, United States

    MOUNT VERNON, NY 105501810

    Phone: (914) 699-2154

    Type: Location

  • 306 S NEW ST STE 110

    BETHLEHEM, PA 180151110

    Phone: (610) 708-5752

    Fax: (570) 300-9204

    Type: Location

  • 564 MAIN ST

    STROUDSBURG, PA 183602128

    Phone: (570) 420-8070

    Type: Mailing

  • 5443 DEERFIELD DR

    EAST STROUDSBURG, PA 183017841

    Phone: (570) 872-5583

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 63 Open Payments records for all available years, with a total value of $1,637.

Total Amount is formed as General ($1,637) + Research ($0) + Ownership ($0) = $1,637.

Last reported payment date: 2024-01-31 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($508).

Total Amount

$1,637

General + Research + Ownership

Payments

63

Total payment records

General Amount

$1,637

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-31

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-07-18

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
I20220718000294INurse PractitionerPATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes31483$0
99442Telephone medical discussion with physician, 11-20 minutes2824$0
View full utilization report →

Insurance plans in this area (ZIP 18301)

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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: 5193034718View full group profile
NameSpecialtyState
P S Y C H I A T R YNJ
Clinical Social WorkerPA
Mental Health CounselorPA
Mental Health CounselorPA
Mental Health CounselorPA
Mental Health CounselorPA

Reviews

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Frequently asked questions

Does MS. JACQUELINE DESIREE JOSEPH (CRNP) have a public NPI I can cite?
Public records show MS. JACQUELINE DESIREE JOSEPH (CRNP) under NPI 1003056888.
Does the public listing show MS. JACQUELINE DESIREE JOSEPH (CRNP) as active?
MS. JACQUELINE DESIREE JOSEPH (CRNP)'s NPI record reflects an active status in NPPES.
What services align with MS. JACQUELINE DESIREE JOSEPH (CRNP)'s listing?
MS. JACQUELINE DESIREE JOSEPH (CRNP)'s public classification highlights Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MS. JACQUELINE DESIREE JOSEPH (CRNP) tied to E. Stroudsburg, Pennsylvania?
If you are local to E. Stroudsburg, Pennsylvania, MS. JACQUELINE DESIREE JOSEPH (CRNP) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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