Jacqueline Stewart, AG-ACNP
Nurse Practitioner, Acute Care in Charlottesville, VA. Individual provider (NPI-1).
NPI number1962289660
StatusActive
Last updated in NPPESSep 14, 2023
Details
- NPI
- 1962289660
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Stewart
- Credential
- AG-ACNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 14, 2023
- Certification date
- Sep 14, 2023
- Last updated
- Sep 14, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | 0024188076 | VA | Yes |
| 207LC0200X | Anesthesiology, Critical Care Medicine | 0024188076 | VA |
Practice location
1215 Lee StCharlottesville, VA 22908-0816
Phone 434-924-2283 · Fax 434-982-0019
Mailing address
Po Box 9007Charlottesville, VA 22906-9007
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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