Individual provider Active NPI

Jaclyn Michelle Hamlin, MSN FNP

  • Nurse Practitioner
  • Herndon, VA
National Provider Identifier
1366992356
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1164664 Issued in TX
Practice address
555 Herndon Pkwy
Herndon, VA 20170-5276
Phone
(703) 481-1505
NPI assigned
Oct 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0017143446 VA
Registered Nurse 163W00000X 0001237651 VA
Family Nurse Practitioner 363LF0000X 0024174217 VA
Nurse Practitioner 363L00000X 1164664 TX Primary

Addresses

Primary practice location

555 Herndon Pkwy
Herndon, VA 20170-5276

Mailing address

648 Burnside Ter SE
Leesburg, VA 20175-8936
Phone (703) 400-5489

Other practice location 1

11823 Culebra Rd Ste 105
San Antonio, TX 78253-4563
Phone (210) 598-1517

Other practice location 2

1659 Highway 46 W Ste 160
New Braunfels, TX 78132-4746
Phone (830) 387-4991

Other practice location 3

1430 N I 35 Ste 106
San Marcos, TX 78666-1496
Phone (512) 353-6475

Other names 1

  • Jaclyn Michelle Dickman Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jhamlin712016@soc.inova.org Health Information Exchange (HIE) Inova Physician Partners, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20170202001570 DC Practitioner - Nurse Practitioner 9133402811 Reassigns benefits to 2 organizations
I20200717001645 VA Practitioner - Nurse Practitioner 9133402811 Reassigns benefits to 2 organizations
I20240807003814 TX Practitioner - Nurse Practitioner 9133402811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

1430 N Ih
San Marcos, TX 78666-1495
Phone (512) 353-6475

1659 Hwy 46 W
Suite 160
New Braunfels, TX 78132-4746
Phone (830) 643-5287

201 FM
Wimberley, TX 78676-2119

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

PO Box
Suite 846098
Dallas, TX 75284-6098

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0001237651VAMDRegistered Nurse
0017143446VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Sep 9, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Sep 9, 2024 Accepting new patients
Inova Physician Partners, LLC CurrentSince Jun 25, 2020 Accepting new patients
Privia Medical Group, LLC CurrentSince Dec 11, 2016 Accepting new patients
Privia Medical Group, LLC CurrentSince Dec 11, 2016 Accepting new patients
Fairfax Family Practice Centers PC Family Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Inova Physician Partners, Inc. - Specialists Past Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

1659 Highway 46 W
Ste 160
New Braunfels, TX 78132
Phone (830) 387-4491

11823 Culebra Rd
Ste 105
San Antonio, TX 78253
Phone (210) 598-1517

1430 N Ih 35
Ste 106
San Marcos, TX 78666
Phone (512) 353-6475

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223

381 Elden St
Ste 1000
Herndon, VA 20170
Phone (703) 481-1505

8644 Sudley Rd
#220
Manassas, VA 20110

740 E Main St
Purcellville, VA 20132
Phone (540) 338-4995

Interoperability endpoints

  • Direct secure messaging: jhamlin401768@christushealth.direct-ci.net
  • Direct secure messaging: jhamlin712016@soc.inova.org

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 2

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": "1476316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1366992356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 BURNSIDE TER SE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201758936",
            "telephone_number": "703-400-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 HERNDON PKWY",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201705276",
            "telephone_number": "703-481-1505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11823 Culebra Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782534563",
            "country_code": "US",
            "telephone_number": "210-598-1517",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1659 Highway 46 W Ste 160",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781324746",
            "country_code": "US",
            "telephone_number": "830-387-4991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1430 N I 35 Ste 106",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "TX",
            "postal_code": "786661496",
            "country_code": "US",
            "telephone_number": "512-353-6475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMLIN",
        "first_name": "JACLYN",
        "middle_name": "MICHELLE",
        "credential": "MSN FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0017143446",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001237651",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174217",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1164664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhamlin712016@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Physician Partners, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "381 Elden St Ste 1000",
            "city": "Herndon",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201704842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JACLYN",
            "last_name": "DICKMAN",
            "middle_name": "MICHELLE",
            "credential": "RN BSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Herndon, VA

Sources for this page

Verify at the official NPI Registry.