Individual provider Active NPI

Hannah Jo Jakelsky, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Dothan, AL
National Provider Identifier
1588451637
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CRNP-1-139682 Issued in AL
Practice address
1672 Columbia Hwy
Dothan, AL 36303-5434
Phone
(334) 791-1622
NPI assigned
Apr 22, 2025
Last updated
May 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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 CRNP-1-139682 AL Primary

Addresses

Primary practice location

1672 Columbia Hwy
Dothan, AL 36303-5434

Mailing address

4310 Metro Pkwy Ste 205
Fort Myers, FL 33916-9416
Phone (757) 606-1377

Other practice location 1

408 Healthwest Dr
Dothan, AL 36303-2054
Phone (334) 702-7222

Other practice location 2

141 Scouting Cir
Troy, AL 36081-2540
Phone (334) 702-7222

Other practice location 3

101 Medical Dr
Dothan, AL 36303-6903
Phone (334) 702-7222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20250821004356 AL Practitioner - Nurse Practitioner 3173023421 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spectracare Integrated Services LLCGroup PAC ID 8921386798, 4 clinicians
Spectracare Health Systems IncGroup PAC ID 3779509765, 15 clinicians

Practice addresses (Care Compare)

1672 Columbia Hwy
Dothan, AL 36303-5434
Phone (334) 712-2671

3542 Montgomery Hwy
Dothan, AL 36303-2165
Phone (334) 712-2720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CRNP-1-139682ALMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spectracare Integrated Services LLC CurrentSince May 24, 2025 Accepting new patients
Spectracare Health Systems, Inc. CurrentSince May 24, 2025 Accepting new patients

Locations

1242 US Highway 431 S
Abbeville, AL 36310
Phone (334) 585-6864

219 Dothan Rd
Abbeville, AL 36310
Phone (334) 585-5331

134 Prevatt Rd
Dothan, AL 36301
Phone (334) 699-3858

1672 Columbia Hwy
Dothan, AL 36303
Phone (334) 712-2671

3542 Montgomery Hwy
Dothan, AL 36303
Phone (334) 712-2720

440 Honeysuckle Rd
Dothan, AL 36305
Phone (334) 673-2143

133 N Orange Ave
Eufaula, AL 36027

1203 W Maple Ave
Geneva, AL 36340
Phone (334) 805-1395

126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803

134 Katherine Ave
Ozark, AL 36360
Phone (334) 774-5146

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/spectracare/r4/

Organizations & group practices 2

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": "1745280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1588451637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 METRO PKWY STE 205",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339169416",
            "telephone_number": "757-606-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1672 COLUMBIA HWY",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363035434",
            "telephone_number": "334-791-1622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 Healthwest Dr",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "363032054",
            "country_code": "US",
            "telephone_number": "334-702-7222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "141 Scouting Cir",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "AL",
            "postal_code": "360812540",
            "country_code": "US",
            "telephone_number": "334-702-7222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "363036903",
            "country_code": "US",
            "telephone_number": "334-702-7222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAKELSKY",
        "first_name": "HANNAH",
        "middle_name": "JO",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-22",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "CRNP-1-139682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.