Individual provider Active NPI

McKenna Jaclyn Cole, CRNP

  • Family Nurse Practitioner
  • Titusville, PA
National Provider Identifier
1043058704
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP030121 Issued in PA
Practice address
339 W Spring St
Titusville, PA 16354-1655
Phone
(814) 827-9675
Fax
(814) 827-4750
NPI assigned
Jul 17, 2024
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP030121 PA Primary

Addresses

Primary practice location

339 W Spring St
Titusville, PA 16354-1655

Mailing address

110 N 13TH St
Franklin, PA 16323-2312
Phone (814) 437-1541

Other practice location 1

116 Central Ave
Oil City, PA 16301-2736
Phone (814) 676-0431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20250602003616 PA Practitioner - Nurse Practitioner 1052820933 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP030121PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Titusville Area Hospital CurrentSince Jun 2, 2025 Accepting new patients
Oil Valley Internal Medicine Associates PC Current Accepting new patients
Titusville Area Hospital CurrentSince Jun 2, 2025 Accepting new patients
Titusville Area Hospital CurrentSince Jun 2, 2025 Accepting new patients
Franklin Pediatric Associates, P.C. PastSince Jul 1, 2024 Accepting new patients

Locations

116 Central Ave
Oil City, PA 16301
Phone (814) 676-0431

339 W Spring St
Titusville, PA 16354
Phone (814) 827-9675

406 W Oak St
Titusville, PA 16354
Phone (814) 827-1851

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1043058704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N 13TH ST",
            "city": "FRANKLIN",
            "state": "PA",
            "postal_code": "163232312",
            "telephone_number": "814-437-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 W SPRING ST",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163541655",
            "telephone_number": "814-827-9675",
            "fax_number": "814-827-4750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Oil City",
            "state": "PA",
            "postal_code": "163012736",
            "country_code": "US",
            "telephone_number": "814-676-0431",
            "fax_number": "814-677-6342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLE",
        "first_name": "MCKENNA",
        "middle_name": "JACLYN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP030121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, PA

Sources for this page

Verify at the official NPI Registry.