JACQUELINE NICODEMO
NPI 1750886115
Pediatrics in Columbus, OH
NPI Status: Active since March 28, 2018
Contact Information
700 CHILDRENS DR
COLUMBUS, OH
ZIP 43205
Phone: (614) 722-4411
- Individual
- Female
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About JACQUELINE NICODEMO
This page provides the complete NPI Profile along with additional information for Jacqueline Nicodemo, a pediatrician established in Columbus, Ohio with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1750886115 assigned on March 2018. The practitioner's primary taxonomy code is 208000000X with license number 57.246584 (OH). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1750886115
- Provider Name
- JACQUELINE NICODEMO
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 700 CHILDRENS DR COLUMBUS, OH 43205
- Location Phone
- (614) 722-4411
- Mailing Address
- 700 CHILDRENS DR COLUMBUS, OH 43205
- Mailing Phone
- (614) 722-4411
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-28-2018
- Last Update Date
- 06-26-2018
- Code Navigator
A pediatrician like Jacqueline Nicodemo is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 57.246584
- License State
- OH
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Pathway HMO 7450 for HSA - HMO
- Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Catastrophic Pathway HMO 9200 - HMO
- Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 5400 for HSA - HMO
- Anthem Silver Pathway X HMO 4000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Low Premium Silver 6000 $3 Generic Drugs - HMO
- Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
- Silver 5000 $20 Generic Drugs - HMO
- Silver 5000 $20 Generic Drugs Adult Vision & Fitness - HMO
- Bronze $8,300 w/ Virtual & Wellness ON-EX - HMO
- Bronze HSA $7,300 ON-EX - HMO
- Bronze Standard w/ Virtual & Wellness - HMO
- Gold $1250 w/ Virtual & Wellness ON-EX - HMO
- Gold $500 w/ Virtual & Wellness ON-EX - HMO
- Gold Standard w/ Virtual & Wellness - HMO
- Silver $5000 w/ Virtual & Wellness ON-EX - HMO
- Silver Standard w/ Virtual & Wellness - HMO
- SilverSelect w/ Virtual & Wellness ON-EX - HMO
- Young Adult Essentials ON-EX - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Jacqueline Nicodemo 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 43205 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.72
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.65
- Average New Patient Copayment $21.18
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.66
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.44
- Minimum Established Patient Price $17.1
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $24.11
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* 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.
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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 | 7 | 5 | 0 | 8 | 8 | 6 | 1 | 1 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 16 | 8 | 12 | 1 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 6 + 8 + 1 + 2 + 1 + 2 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1750886115 is valid because the calculated check digit 5 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 |
|---|---|---|---|
| 1952391773 | DR. KRISTEN E LAMBERJACK PHARMD Individual | Pharmacist | 700 CHILDRENS DR COLUMBUS, OH 43205 (614) 722-2168 |
| 1952391294 | CHRISTINE ANN KROSKIE RPH Individual | Pharmacist | 700 CHILDRENS DR COLUMBUS, OH 43205 (614) 722-2166 |
| 1588648752 | JOAN DURBIN M.D. Individual | Pathology (Pediatric Pathology) | 700 CHILDRENS DR COLUMBUS, OH 43205 (614) 722-5306 |
| 1801869086 | DR. GINA MARIE FEDEL MD Individual | Anesthesiology | 700 CHILDRENS DR COLUMBUS, OH 43205 (614) 722-4200 |
| 1356303135 | JANET MARIE SCHWEIKERT NNP Individual | Nurse Practitioner (Neonatal) | 700 CHILDRENS DR ROSS HALL 1ST FLOOR COLUMBUS, OH 43205 (937) 208-2744 |
| 1437113958 | DR. SONYA JANE SEBASTIAN PHARM.D. Individual | Pharmacist | 700 CHILDRENS DR COLUMBUS, OH 43205 (614) 722-2455 |
| 1750349122 | VIOLA D DEVANY M.D. Individual | Anesthesiology | 700 CHILDRENS DR COLUMBUS, OH 43205 (614) 722-4579 |
| 1073564381 | DR. J. TERRANCE DAVIS M.D. Individual | Surgery (Pediatric Surgery) | 700 CHILDRENS DR COLUMBUS, OH 43205 (614) 722-3100 |
| 1073564316 | JOHN DAVID MARTINO MD Individual | Anesthesiology | 700 CHILDRENS DR COLUMBUS, OH 43205 (614) 722-4579 |
| 1730131293 | MARY ANN KANE CRNA Individual | Nurse Anesthetist, Certified Registered | 700 CHILDRENS DR COLUMBUS, OH 43205 (614) 722-4200 |
| 1396782462 | TERRI L KEEGSTRA DO Individual | Anesthesiology | 700 CHILDRENS DR COLUMBUS, OH 43205 (614) 722-4200 |
| 1043258874 | ELIZABETH A HINGSBERGEN MD Individual | Radiology (Diagnostic Radiology) | 700 CHILDRENS DR COLUMBUS, OH 43205 (614) 722-4579 |
| 1013956374 | FREDERICK R LONG MD Individual | Radiology (Diagnostic Radiology) | 700 CHILDRENS DR COLUMBUS, OH 43205 (614) 722-4579 |
| 1255360723 | CHRISTOPHER THOMAS LANCASTER M.D. Individual | Anesthesiology | 700 CHILDRENS DR COLUMBUS, OH 43205 (614) 722-4200 |
| 1164456356 | DAWN MICHELLE ELIAS CRNA Individual | Nurse Anesthetist, Certified Registered | 700 CHILDRENS DR COLUMBUS, OH 43205 (614) 722-4579 |
| 1336173533 | JOZEFA MENTRAK HERNON CRNA Individual | Nurse Anesthetist, Certified Registered | 700 CHILDRENS DR COLUMBUS, OH 43205 (614) 722-4579 |
| 1962427278 | MS. DEVON LAMB MS CGC Individual | Genetic Counselor, MS | 700 CHILDRENS DR DEPT LABORATROY MEDICINE C0983 COLUMBUS, OH 43205 (614) 722-5346 |
| 1487670592 | DR. ROSALIND J. BATLEY MD Individual | Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine) | 700 CHILDRENS DR SECTION OF PHYSICAL MEDICINE AND REHABILITATION COLUMBUS, OH 43205 (614) 722-5050 |
| 1285652206 | MARY J MAGILL CRNA Individual | Nurse Anesthetist, Certified Registered | 700 CHILDRENS DR COLUMBUS, OH 43205 (614) 722-4200 |
| 1558383638 | DR. JENNIFER ELIZABETH CASS PH.D Individual | Clinical Neuropsychologist | 700 CHILDRENS DR 4TH FLOOR TIMKEN HALL COLUMBUS, OH 43205 (614) 722-4700 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750886115, enumerated in the NPI registry as an "individual" on March 28, 2018
The provider is located at 700 Childrens Dr Columbus, Oh 43205 and the phone number is (614) 722-4411
The provider's speciality is Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, CareSource and. 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 $84.72 with an average copayment of $21.18 for new patient appointments. Established patients should expect a typical charge of $96.44 and an average copayment of 24.11. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on March 28, 2018. 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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