Jaclyn Carr, NP-BC
Individual provider Active NPI Family Nurse Practitioner · Greenville, OH
NPI 1023749983 · NPPES record last updated May 16, 2024
Key facts
- NPI
- 1023749983
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN.CNP.0030540 (OH)
- Practice address
- 5735 Meeker Rd
Greenville, OH 45331-1186 - Phone
- (937) 548-9680
- Fax
- (937) 548-2087
- NPI assigned
- Jun 22, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 4
Medicare Care Compare profile
- 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.
Practice addresses (Care Compare)
5735 Meeker Rd
Greenville, OH 45331-1180
Phone (937) 548-9680
Hospital & facility affiliations
- Wayne Hospital
- Kettering Health Dayton
- Kettering Health Troy
- Miami Valley Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220720002277 | OH | Practitioner - Nurse Practitioner | 2466833520 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0030540 | OH | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Services of Darke County, Inc. | Current |
Accepting new patients | |
| Family Health Services of Darke County Inc | Current | Accepting new patients | |
| Family Health Services of Darke County, Inc. | Current |
Accepting new patients | |
| Family Health Services of Darke County Inc | Past | Accepting new patients | |
| Family Health Services of Darke County, Inc. | Past | Accepting new patients |
Locations
702 N Main St
Arcanum, OH 45304
Phone (937) 548-1141
1101 Jackson St
Ste C
Greenville, OH 45331
Phone (937) 547-2319
5735 Meeker Rd
Greenville, OH 45331
Phone (937) 548-3806
101 Anderson St
New Madison, OH 45346
Phone (937) 996-0023
10484 Kley Rd
Versailles, OH 45380
Phone (937) 526-3016
Interoperability endpoints
- jaclyn.carr@fhsi.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | APRN.CNP.0030540 | OH | |
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0030540 | OH | Yes |
Addresses
Primary practice location
5735 Meeker Rd
Greenville, OH 45331-1186
Mailing address
5735 Meeker Rd
Greenville, OH 45331-1186
Phone (937) 548-9680
Other names
- Jaclyn Noes
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jcarr706932@direct.ketteringhealth.org | ||
| FHIR URL | https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/ |
Other providers in Greenville, OH
- Amber Kelly Bynum
- Kelley Callahan
- Sherry L Camacho
- Kathryn E Campbell
- Christopher Dale Cantrell
- Brandi Carrubba
- Morgan Carter
- Douglas Charles Caserta
- Cleanne Cass
- Belinda Jean Chaffins
All providers in Greenville, OH · Family Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.