Stephen Jaqua
NPI 1912585811 · Student in an Organized Health Care Education/Training Program · Charlotte, NC
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stephen Jaqua is a Student in an Organized Health Care Education/Training Program provider in Charlotte, NC (NPI 1912585811).
Provider details
- NPI number
- 1912585811
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-03-31
- Last updated
- 2021-03-31
- Certified
- 2021-03-31
Frequently asked questions
- What is Stephen Jaqua's NPI number?
- Stephen Jaqua's National Provider Identifier (NPI) is 1912585811, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stephen Jaqua's specialty?
- Stephen Jaqua is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Stephen Jaqua located?
- Stephen Jaqua's practice location on file with NPPES is 1000 Blythe Blvd, Charlotte, NC 28203-5812.
- What is Stephen Jaqua's phone number?
- The practice phone number listed in the NPPES registry for Stephen Jaqua is (704) 381-6806.
- Does Stephen Jaqua accept Medicare?
- Stephen Jaqua is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stephen Jaqua's NPI active?
- Yes — Stephen Jaqua's NPI (1912585811) is active in the NPPES registry as of the last update on 2021-03-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.