Individual provider Active NPI

Jocelyn Pawlicki, FNP

  • Family Nurse Practitioner
  • Kingman, AZ
National Provider Identifier
1356964522
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
243263 Issued in AZ
Practice address
2501 N Stockton Hill Rd Ste 108
Kingman, AZ 86401-4140
Phone
(928) 255-5050
Fax
(888) 571-5897
NPI assigned
May 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 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 F05200509 AZ
Family Nurse Practitioner 363LF0000X 243263 AZ Primary

Addresses

Primary practice location

2501 N Stockton Hill Rd Ste 108
Kingman, AZ 86401-4140

Mailing address

2501 N Stockton Hill Rd Ste 108
Kingman, AZ 86401-4140
Phone (928) 255-5050

Other practice location 1

3931 N Stockton Hill Rd
Kingman, AZ 86409-2426
Phone (928) 385-7100

Other practice location 2

1510 N Stockton Hill Rd
Kingman, AZ 86401-5173
Phone (928) 753-1177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20210104001260 AZ Practitioner - Nurse Practitioner 8325451743 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prescott Healthcare Solutions LLCGroup PAC ID 4385940295, 199 clinicians

Practice addresses (Care Compare)

2501 N Stockton Hill Rd
Suite 108
Kingman, AZ 86401-4140
Phone (928) 255-5050

Hospital & facility affiliations

  • Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F05200509AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Healthcare, Inc. Current Accepting new patients
North Country Healthcare, Inc. CurrentSince Oct 8, 2024 Accepting new patients
Vanhorn Healthcare 2 LLC CurrentSince Mar 19, 2024 Accepting new patients
Vanhorn Healthcare PLLC CurrentSince Mar 24, 2024 Accepting new patients
North Country Healthcare, Inc. CurrentSince Oct 8, 2024 Accepting new patients
North Country Healthcare, Inc. Current Accepting new patients
North Country Healthcare, Inc. Past Accepting new patients
Prescott Healthcare Solutions LLC Family Past Accepting new patients

Locations

2580 Highway 95
Ste 201
Bullhead City, AZ 86442
Phone (928) 201-1189

2403 N Stockton Hill Rd
Ste 12
Kingman, AZ 86401
Phone (928) 201-1189

1510 N Stockton Hill Rd
Kingman, AZ 86401
Phone (928) 753-1177

620 Lee St
Winslow, AZ 86047
Phone (928) 288-8700

Organizations & group practices 8

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 1

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": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1356964522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 N STOCKTON HILL RD STE 108",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014140",
            "telephone_number": "928-255-5050",
            "fax_number": "888-571-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N STOCKTON HILL RD STE 108",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014140",
            "telephone_number": "928-255-5050",
            "fax_number": "888-571-5897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3931 N Stockton Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Kingman",
            "state": "AZ",
            "postal_code": "864092426",
            "country_code": "US",
            "telephone_number": "928-385-7100",
            "fax_number": "855-538-3114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1510 N Stockton Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Kingman",
            "state": "AZ",
            "postal_code": "864015173",
            "country_code": "US",
            "telephone_number": "928-753-1177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAWLICKI",
        "first_name": "JOCELYN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "F05200509",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "243263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

Verify at the official NPI Registry.