Jaclyn Craigin, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71007859A Issued in IN

Practice address

1731 Ringer LN
Williamsport, IN 47993-8900

Phone

(765) 762-4170

NPI assigned

Feb 19, 2018

Last updated

Jun 16, 2022By 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 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Vincent Williamsport HospitalGroup PAC ID 4486636776, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension St Vincent Williamsport Hospital, Williamsport, IN, CCN 151307

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jaclyn.craigin.2@7598.direct.athenahealth.com

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.

• St. Vincent Williamsport Hospital

  • Critical Access Hospital
  • Williamsport, IN
  • NPI 1518913565
  Medicare reassignment Care Compare group NPD
• St. Vincent Williamsport Hospital

  dba Ascension St. Vincent Williamsport

  • Critical Access Hospital Clinic/Center
  • Williamsport, IN
  • NPI 1841233061
  NPD
• St. Vincent Williamsport Hospital

  dba Ascension St. Vincent Williamsport

  • Critical Access Hospital Clinic/Center
  • Veedersburg, IN
  • NPI 1730136458
  NPD (past)

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

• St. Vincent Williamsport Hospital

  • Critical Access Hospital
  • Williamsport, IN
  • NPI 1518913565
  Care Compare affiliation

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1073013785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 RINGER LN",
            "city": "WILLIAMSPORT",
            "state": "IN",
            "postal_code": "479938900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 RINGER LN",
            "city": "WILLIAMSPORT",
            "state": "IN",
            "postal_code": "479938900",
            "telephone_number": "765-762-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIGIN",
        "first_name": "JACLYN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-19",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007859A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jaclyn.craigin.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Williamsport Hospital",
            "address_1": "1731 Ringer Ln",
            "city": "Williamsport",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479938900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Community Action Program, Inc. of Western in
• Steven Fischer, M.D.
• Richard Thompson Gripe, MD
• Iema Indiana
• Jon Brent Inman, D.D.S.
• James D Jordan, MD

• Family Nurse Practitioner in Williamsport, IN
• Providers in Williamsport, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.