Active NPI
Jaclyn M McFadden
- Audiologist
- Springfield, IL
National Provider Identifier
1619320207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 147001594
- Practice address
- 4000 Westgate Dr
Springfield, IL 62711-7066 - Phone
- (217) 726-6101
- NPI assigned
- Jul 19, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 147001594 | IL | Primary |
Addresses
Primary practice location
4000 Westgate Dr
Springfield, IL 62711-7066
Mailing address
PO Box 19248
Springfield, IL 62794-9248
Phone (217) 528-7541
Other names 1
- Jacyln M Paisley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1025 S 6TH St
Springfield, IL 62703-2403
Phone (217) 528-7541
775 Engineering Ave
Springfield, IL 62703-5909
Phone (217) 522-4300
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.83 of 100
- Quality
- 75.65
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Clinic, LLP | Current | Accepting new patients | |
| Central Illinois Audiology LTD | Audiologist | Past | Accepting new patients |
Locations
775 Engineering Ave
Springfield, IL 62703
Phone (217) 522-4300
1025 S 6th St
Springfield, IL 62703
Interoperability endpoints
- jaclyn.mcfadden.1@28977.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1780638478
-
- Audiologist
- Springfield, IL
- NPI 1356294284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628553600000",
"number": "1619320207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19248",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627949248",
"telephone_number": "217-528-7541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 WESTGATE DR",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627117066",
"telephone_number": "217-726-6101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCFADDEN",
"first_name": "JACLYN",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-19",
"last_updated": "2021-08-10",
"certification_date": "2021-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IL",
"license": "147001594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACYLN",
"last_name": "PAISLEY",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.