MRS. JACQUELINE ANNETTE SROKA NP-C
NPI 1689902777
Nurse Practitioner - Family in Charlotte, NC
NPI Status: Active since November 30, 2009
Contact Information
1000 BLYTHE BLVD
CHARLOTTE, NC
ZIP 28203
Phone: (704) 446-1242
Fax: (704) 446-1241
- Individual
- Female
- Nurse Practitioner
- Family
- Accepts Insurance
- PECOS Enrolled
About JACQUELINE SROKA
This page provides the complete NPI Profile along with additional information for Jacqueline Sroka, a provider established in Charlotte, North Carolina with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1689902777 assigned on November 2009. The practitioner's primary taxonomy code is 363LF0000X with license number 204903 (NC). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1689902777
- Provider Name
- MRS. JACQUELINE ANNETTE SROKA NP-C
- Other Name
- JACQUELINE ANNETTE FUGIEL
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1000 BLYTHE BLVD CHARLOTTE, NC 28203
- Location Phone
- (704) 446-1242
- Location Fax
- (704) 446-1241
- Mailing Address
- PO BOX 601372 CHARLOTTE, NC 28260
- Mailing Phone
- (704) 446-1242
- Mailing Fax
- (704) 446-1241
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-30-2009
- Last Update Date
- 05-07-2012
- Code Navigator
A nurse practitioner (NP) like Jacqueline Sroka is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 204903
- License State
- NC
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- MyBlue Plus Bronze? 903 - POS
- MyBlue Plus Bronze? 912 - POS
- MyBlue Plus Bronze? Standard - Select Rx Copays - POS
- MyBlue Plus Gold? 909 - POS
- MyBlue Plus Gold? 910 - POS
- MyBlue Plus Gold? Standard - Rx Copays - POS
- MyBlue Plus Silver? 905 - POS
- MyBlue Plus Silver? 906 - POS
- MyBlue Plus Silver? Standard - Select Rx Copays - POS
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| NP1574 | MEDICAID (05) | SC | |
| 2594694 | MEDICARE PIN (08) | NC | |
| 7005234 | MEDICAID (05) | NC |
Medicare Participation & PECOS Enrollment Status
Jacqueline Sroka is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 28203 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $83.9
- Minimum New Patient Price $54.12
- Maximum New Patient Price $165.09
- Average New Patient Copayment $20.97
- Minimum New Patient Copayment $13.53
- Maximum New Patient Copayment $41.27
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $95.94
- Minimum Established Patient Price $17.21
- Maximum Established Patient Price $134.61
- Average Established Patient Copayment $23.98
- Minimum Established Patient Copayment $4.3
- Maximum Established Patient Copayment $33.65
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for MRS. JACQUELINE ANNETTE SROKA NP-C
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 8 | 9 | 9 | 0 | 2 | 7 | 7 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 16 | 9 | 18 | 0 | 4 | 7 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 6 + 9 + 1 + 8 + 0 + 4 + 7 + 1 + 4 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1689902777 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1093712242 | MR. ANDREW PAGW MCKUSICK R.PH. Individual | Pharmacist (Nuclear) | 1000 BLYTHE BLVD CAROLINAS MEDICAL CENTER - DEPT OF NUC MED CHARLOTTE, NC 28203 (704) 355-3527 |
| 1619978111 | DR. MARIE-CLAIRE MARROUM M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1000 BLYTHE BLVD CHARLOTTE, NC 28203 (704) 355-2251 |
| 1639170897 | DR. WAYNE NELS CHRISTENSEN M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1000 BLYTHE BLVD CHARLOTTE, NC 28203 (704) 355-2251 |
| 1518968023 | DR. JAMES EMMETT MCDERMOTT M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1000 BLYTHE BLVD CHARLOTTE, NC 28203 (704) 355-2251 |
| 1336140854 | DR. SAMUEL ORR M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1000 BLYTHE BLVD CHARLOTTE, NC 28203 (704) 355-2251 |
| 1689676173 | AMY L SMITH CRNA Individual | Nurse Anesthetist, Certified Registered | 1000 BLYTHE BLVD CAROLINAS MEDICAL CENTER - ANESTHESIOLOGY CHARLOTTE, NC 28203 (704) 355-2000 |
| 1508854019 | DR. JOSHUA SETH MILLER MD Individual | Anesthesiology (Pain Medicine) | 1000 BLYTHE BLVD CHARLOTTE, NC 28203 (704) 355-2372 |
| 1558359083 | DR. CHARLES DANA HERSHEY MD Individual | Anesthesiology | 1000 BLYTHE BLVD SOUTHEAST ANESTHESIOLOGY CONSULTANTS PA CHARLOTTE, NC 28203 (704) 355-2372 |
| 1366430894 | DR. MICHAEL TIFFANY GILLETTE MD Individual | Anesthesiology | 1000 BLYTHE BLVD CHARLOTTE, NC 28203 (704) 355-2372 |
| 1841288347 | DR. ERIC HERBERT WINTER MD Individual | Anesthesiology | 1000 BLYTHE BLVD CHARLOTTE, NC 28203 (704) 355-2372 |
| 1073501516 | DR. JAMES MICHAEL DOYLE MD Individual | Anesthesiology | 1000 BLYTHE BLVD CHARLOTTE, NC 28203 (704) 355-2372 |
| 1508854076 | DR. JOSEPH PAUL COYLE MD Individual | Anesthesiology | 1000 BLYTHE BLVD CHARLOTTE, NC 28203 (704) 355-2372 |
| 1508854068 | DR. RICHARD LEE GILBERT MD Individual | Anesthesiology (Pain Medicine) | 1000 BLYTHE BLVD CHARLOTTE, NC 28203 (704) 355-2372 |
| 1831187392 | DR. BRIAN JOHN WILDER MD Individual | Anesthesiology (Pain Medicine) | 1000 BLYTHE BLVD CHARLOTTE, NC 28203 (704) 355-2372 |
| 1407845225 | DR. VASILIKI STABOLITIS COLLINS MD Individual | Anesthesiology | 1000 BLYTHE BLVD CHARLOTTE, NC 28203 (704) 355-2372 |
| 1932198843 | DR. FREDERICK LEE NEWCOMB JR. MD Individual | Anesthesiology | 1000 BLYTHE BLVD CHARLOTTE, NC 28203 (704) 355-2372 |
| 1992794812 | DR. RICHARD JOHN POLLARD MD Individual | Anesthesiology | 1000 BLYTHE BLVD CHARLOTTE, NC 28203 (704) 355-2372 |
| 1417948548 | DR. SCOTT DANIEL POPE PHARMD Individual | Pharmacist | 1000 BLYTHE BLVD CHARLOTTE, NC 28203 (704) 355-3758 |
| 1477537553 | JOSEPH MCDONALD ERNEST III MD Individual | Obstetrics & Gynecology (Maternal & Fetal Medicine) | 1000 BLYTHE BLVD CHARLOTTE, NC 28203 (704) 355-3153 |
| 1518942366 | MS. ELIZABETH AMACKER NORTH M.S. Individual | Genetic Counselor, MS | 1000 BLYTHE BLVD CHARLOTTE, NC 28203 (704) 355-3159 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689902777, enumerated in the NPI registry as an "individual" on November 30, 2009
The provider is located at 1000 Blythe Blvd Charlotte, Nc 28203 and the phone number is (704) 446-1242
The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $83.9 with an average copayment of $20.97 for new patient appointments. Established patients should expect a typical charge of $95.94 and an average copayment of 23.98. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on November 30, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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