Active NPI
Jill Ann Wasylik-Waldock, FNP
- Family Nurse Practitioner
- Sandusky, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.0034832
- Practice address
- 1111 Hayes Ave
Sandusky, OH 44870-3323 - Phone
- (419) 557-7455
- Fax
- (419) 557-7782
- NPI assigned
- Dec 8, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0034832 | OH | Primary |
| Family Nurse Practitioner | 363LF0000X | F08230498 | OH |
Addresses
Primary practice location
1111 Hayes Ave
Sandusky, OH 44870-3323
Mailing address
500 W Monroe St Ste 1300
Chicago, IL 60661-3704
Phone (877) 751-5783
Other practice location 1
4210 Whispering Pines Ln
Sandusky, OH 44870-7086
Phone (419) 239-6267
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 Hayes Ave
Sandusky, OH 44870-3323
Phone (419) 557-7455
1470W McPherson Hwy
Clyde, OH 43410-1010
Phone (419) 547-0700
Hospital & facility affiliations
- Firelands Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0034832 | OH | MD | Family Nurse Practitioner |
| F08230498 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Coast Professional Company, LLC | Current | Accepting new patients | |
| North Coast Professional Company, LLC | Current | Accepting new patients | |
| ER-Doc Inc | Current | Accepting new patients |
Locations
1470 W McPherson Hwy
Clyde, OH 43410
Phone (419) 547-0700
703 Tyler St
Ste 352
Sandusky, OH 44870
Phone (419) 557-6785
1912 Hayes Ave
Ste 1
Sandusky, OH 44870
1111 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-7455
5420 Milan Rd
Ste C
Sandusky, OH 44870
Phone (419) 557-6490
Interoperability endpoints
- jill.wasylik-waldock@fpg.medicity.net
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Sandusky, OH
- NPI 1922092014
-
- Internal Medicine Physician
- Sandusky, OH
- NPI 1881648210
-
- Rural Health Clinic/Center
- Fremont, OH
- NPI 1407393242
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tiffin, OH
- NPI 1154372381
Hospital
-
- General Acute Care Hospital
- Sandusky, OH
- NPI 1285392936
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sandusky, OH
- NPI 1629028600
Hospital
-
- General Acute Care Hospital
- Sandusky, OH
- NPI 1801884655
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Norwalk, OH
- NPI 1992756118
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1508633660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W MONROE ST STE 1300",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606613704",
"telephone_number": "877-751-5783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 HAYES AVE",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448703323",
"telephone_number": "419-557-7455",
"fax_number": "419-557-7782"
}
],
"practiceLocations": [
{
"address_1": "4210 Whispering Pines Ln",
"address_purpose": "LOCATION",
"city": "Sandusky",
"state": "OH",
"postal_code": "448707086",
"country_code": "US",
"telephone_number": "419-239-6267",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WASYLIK-WALDOCK",
"first_name": "JILL",
"middle_name": "ANN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-08",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.0034832",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "F08230498",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandusky, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.