Jaclyn Vander Schilden, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

E-15743 Issued in AR

Practice address

3401 Springhill Dr Ste 245
North Little Rock, AR 72117-2926

Phone

(501) 945-4422

Fax

(501) 955-6052

NPI assigned

Apr 4, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

General Surgery

Education

University of Arkansas College of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pulaski Surgery Clinic PAGroup PAC ID 1951206093, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Medical Center North Little Rock Hospital, North Little Rock, AR, CCN 040036
• Baptist Health Medical Center Heber Springs Hospital, Heber Springs, AR, CCN 041312

Merit-based Incentive Payment System (MIPS)

Final score

96.33 of 100Reported as group

Quality

84.51

Promoting interoperability

100

Improvement activities

40

Cost

86.8

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/862/brand/1/csg/1/fhir/r4
• Direct secure messaging: jaclyn.vander.schilden.1@862.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 and National Provider Directory roles.

• Pulaski Surgery Clinic PA

  • Surgery Physician
  • North Little Rock, AR
  • NPI 1790756328
  Medicare reassignment Care Compare group NPD

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

• Baptist Health

  • General Acute Care Hospital
  • North Little Rock, AR
  • NPI 1497790042
  Care Compare affiliation
• Baptist Health

  • Critical Access Hospital
  • Heber Springs, AR
  • NPI 1609804822
  Care Compare affiliation

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1336502665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 SPRINGHILL DR STE 245",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172926",
            "telephone_number": "501-945-4422",
            "fax_number": "501-955-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 SPRINGHILL DR STE 245",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172926",
            "telephone_number": "501-945-4422",
            "fax_number": "501-955-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER SCHILDEN",
        "first_name": "JACLYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "E-15743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaahnavi Vajje, MD
• Nyla Valley
• Tuyet Thi Van, DDS
• Caitlann Potter Vance, MOT, OTR/L
• Kimberly Vance, APRN
• Camille Donna Vanness, LPC
• Logan John Vanveldhuizen
• Carmen Vanvoorhis
• Liubou Varanitskaya
• Femy Ann Varghese, DO

• Surgery Physician in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.