Jaclyn Wetli, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

35.142033 Issued in OH

Practice address

5005 Arlington Centre Blvd
Upper Arlington, OH 43220-2912

Phone

(614) 246-6900

Fax

(614) 246-6909

NPI assigned

Apr 2, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Wright State University Boonshoft School of Medicine, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Columbus Aesthetic and Plastic Surgery, IncGroup PAC ID 6103865837, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jwetli@directaddress.net

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

• Columbus Aesthetic and Plastic Surgery, Inc

  • Plastic Surgery Physician
  • Columbus, OH
  • NPI 1699801555
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1491091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1306378948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 ARLINGTON CENTRE BLVD",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432202912",
            "telephone_number": "614-246-6900",
            "fax_number": "614-246-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 ARLINGTON CENTRE BLVD",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432202912",
            "telephone_number": "614-246-6900",
            "fax_number": "614-246-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETLI",
        "first_name": "JACLYN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-02",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.142033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Wells, PT
• Stephanie Rae Wells, M.S., LPCC-S
• Leah M. Welsh, DO
• Katie Maria Westfield, PA
• Todd Michael Wetherill, RPH
• Joshua H Whisler, PT
• Sydney White
• Casey Wieck, ATC, LMT
• Stephen Wiley, CNP
• Elizabeth Gambril Williams, DPT

• Dermatology Physician in Upper Arlington, OH
• Providers in Upper Arlington, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.