Individual ProviderJacqueline CadenaNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2150 Pennsylvania Ave NW, Washington, DC 20037-3201(202) 741-2323(202) 877-3088PECOS EnrollmentBased on the most recent information from CMS, provider Jacqueline Cadena is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 4:18 PM.Profile DetailsProvider ID1073562054Provider TypeIndividualFull NameCadena, JacquelineCredentialNPGenderFemaleSole ProprietorNoEnumeration Date5/8/2006Last Updated8/31/2022Contact InformationPractice LocationPractice Address2150 Pennsylvania Ave NW, Washington, DC 20037-3201Phone(202) 741-2323FaxUnlisted FaxMailing LocationMailing Address110 Irving St NW, #2a38, Washington, DC 20010-2976Phone(202) 877-3088FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseNP0058808District of ColumbiaCode363L00000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseRN58808District of Columbia