Individual provider Active NPI

Jacquelyn McClain Marshall, NP

  • Family Nurse Practitioner
  • Canonsburg, PA
National Provider Identifier
1306476254
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP024983 Issued in PA
Practice address
160 Gallery Dr
Canonsburg, PA 15317-2690
Phone
(724) 260-7400
Fax
(724) 260-7410
NPI assigned
Jan 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 101922 WV
Family Nurse Practitioner 363LF0000X SP024983 PA Primary

Addresses

Primary practice location

160 Gallery Dr
Canonsburg, PA 15317-2690

Mailing address

160 Gallery Dr
Canonsburg, PA 15317-2690
Phone (724) 260-7400

Other practice location 1

1 Medical Park
Wheeling, WV 26003-6300
Phone (304) 243-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200430001570 WV Practitioner - Nurse Practitioner 0648600882 Reassigns benefits to 2 organizations
I20220602002122 PA Practitioner - Nurse Practitioner 0648600882 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wheeling Hospital IncGroup PAC ID 5799689493, 433 clinicians
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

1 Medical Park
Wheeling, WV 26003-6379
Phone (304) 243-3000

200 Lothrop St
Pittsburgh, PA 15213-2546
Phone (412) 383-1370

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101922WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2024 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2024 Accepting new patients
Allegheny Clinic CurrentSince Dec 20, 2025 Accepting new patients
West Virginia University Hospitals, Inc. CurrentSince Apr 1, 2020 Accepting new patients
Wheeling Hospital Inc CurrentSince Jul 1, 2023 Accepting new patients
West Virginia University Hospitals Inc Current Accepting new patients
West Virginia University Hospitals, Inc. CurrentSince Apr 1, 2020 Accepting new patients
Allegheny Clinic CurrentSince Dec 20, 2025 Accepting new patients
West Virginia University Hospitals, Inc Past Accepting new patients
Wheeling Hospital Inc Past Accepting new patients

Locations

100 Medical Blvd
Canonsburg, PA 15317
Phone (412) 359-4138

160 Gallery Dr
McMurray, PA 15317
Phone (724) 260-7200

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

155 Wilson Ave
Washington, PA 15301
Phone (724) 223-3342

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

Organizations & group practices 12

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1306476254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 GALLERY DR",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153172690",
            "telephone_number": "724-260-7400",
            "fax_number": "724-260-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 GALLERY DR",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153172690",
            "telephone_number": "724-260-7400",
            "fax_number": "724-260-7410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Park",
            "address_purpose": "LOCATION",
            "city": "Wheeling",
            "state": "WV",
            "postal_code": "260036300",
            "country_code": "US",
            "telephone_number": "304-243-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "JACQUELYN",
        "middle_name": "MCCLAIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-20",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "101922",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP024983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canonsburg, PA

Sources for this page

Verify at the official NPI Registry.