Jaclyn Carr, NP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.0030540 Issued in OH

Practice address

5735 Meeker Rd
Greenville, OH 45331-1186

Phone

(937) 548-9680

Fax

(937) 548-2087

NPI assigned

Jun 22, 2022

Last updated

May 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Jaclyn Noes Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of Cincinnati College of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Health Services of Darke County, Inc.Group PAC ID 5698762235, 57 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wayne Hospital Hospital, Greenville, OH, CCN 361335
• Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
• Kettering Health Troy Hospital, Troy, OH, CCN 360368
• Miami Valley Hospital Hospital, Dayton, OH, CCN 360051

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jaclyn.carr@fhsi.eclinicaldirectplus.com
• Direct secure messaging: jcarr706932@direct.ketteringhealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Health Services of Darke County, Inc.

  • Federally Qualified Health Center (FQHC)
  • Versailles, OH
  • NPI 1013244680
  Medicare reassignment Care Compare group
• Family Health Services of Darke County Inc

  • Student Health Clinic/Center
  • New Madison, OH
  • NPI 1477244275
  NPD
• Family Health Services of Darke County, Inc.

  • Student Health Clinic/Center
  • Union City, OH
  • NPI 1649962960
  NPD
• Family Health Services of Darke County, Inc.

  • Primary Care Clinic/Center
  • Greenville, OH
  • NPI 1750106522
  NPD
• Family Health Services of Darke County Inc

  dba Family Health

  • Federally Qualified Health Center (FQHC)
  • Greenville, OH
  • NPI 1366419293
  NPD (past)
• Family Health Services of Darke County, Inc.

  • Federally Qualified Health Center (FQHC)
  • Arcanum, OH
  • NPI 1821325499
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dayton Osteopathic Hospital

  dba Kettering Health Dayton

  • General Acute Care Hospital
  • Dayton, OH
  • NPI 1053339507
  Care Compare affiliation
• Kettering Medical Center

  dba Kettering Health Troy

  • General Acute Care Hospital
  • Troy, OH
  • NPI 1023587045
  Care Compare affiliation
• Miami Valley Hospital

  • General Acute Care Hospital
  • Dayton, OH
  • NPI 1073688354
  Care Compare affiliation
• Wayne Hospital Company

  dba Wayne Healthcare

  • Critical Access Hospital
  • Greenville, OH
  • NPI 1184621161
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1023749983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5735 MEEKER RD",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311186",
            "telephone_number": "937-548-9680",
            "fax_number": "937-548-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5735 MEEKER RD",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311186",
            "telephone_number": "937-548-9680",
            "fax_number": "937-548-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "JACLYN",
        "credential": "NP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "APRN.CNP.0030540",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0030540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcarr706932@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "600 W Main St Ste 330",
            "city": "Troy",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453733384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "600 W Main St Ste 330",
            "city": "Troy",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453733384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JACLYN",
            "last_name": "NOES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amber Kelly Bynum, RN
• Kelley Callahan, PSY.D
• Sherry L Camacho, LCDC II
• Kathryn E Campbell
• Christopher Dale Cantrell, PTA
• Brandi Carrubba
• Morgan Carter, MSW
• Douglas Charles Caserta, FNP-BC, CNP
• Cleanne Cass, DO
• Belinda Jean Chaffins, PSY.D.

• Family Nurse Practitioner in Greenville, OH
• Providers in Greenville, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.