Individual provider Active NPI

Jaclyn Marie Woehl

  • Psychiatric/Mental Health Nurse Practitioner
  • Yankton, SD
National Provider Identifier
1568337848
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CP003840 Issued in SD
Practice address
1101 Broadway Ave Ste 108-2
Yankton, SD 57078-2835
Phone
(605) 702-4409
Fax
(605) 309-7914
NPI assigned
Oct 7, 2025
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CP003840 SD Primary

Addresses

Primary practice location

1101 Broadway Ave Ste 108-2
Yankton, SD 57078-2835

Mailing address

817 Pine St
Yankton, SD 57078-3634
Phone (605) 702-4409

Other practice location 1

3803 W Technology Cir
Sioux Falls, SD 57106-4233
Phone (605) 702-4409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20260416000867 SD Practitioner - Nurse Practitioner 4587130661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3111 Shirley Bridge Ave
Yankton, SD 57078-5949

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP003840SDMDPsychiatric/Mental Health Nurse Practitioner

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1568337848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 PINE ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570783634",
            "telephone_number": "605-702-4409",
            "fax_number": "605-309-7914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 BROADWAY AVE STE 108-2",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570782835",
            "telephone_number": "605-702-4409",
            "fax_number": "605-309-7914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3803 W Technology Cir",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571064233",
            "country_code": "US",
            "telephone_number": "605-702-4409",
            "fax_number": "605-309-7914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOEHL",
        "first_name": "JACLYN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SD",
            "license": "CP003840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yankton, SD

Sources for this page

Verify at the official NPI Registry.