Individual provider Active NPI

Jaclyn Kleinschrodt

  • Physician Assistant
  • Manchester, NH
National Provider Identifier
1649765751
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3027 Issued in NH
Practice address
718 Smyth Rd
Manchester, NH 03104-7007
Phone
(603) 624-4366
NPI assigned
Jun 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X WA
Physician Assistant 363A00000X MA063477 PA
Physician Assistant 363A00000X 3027 NH Primary

Addresses

Primary practice location

718 Smyth Rd
Manchester, NH 03104-7007

Mailing address

718 Smyth Rd
Manchester, NH 03104-7007
Phone (603) 624-4366

Other practice location 1

1800 Byberry Rd Ste 1203
Huntingdon Valley, PA 19006-3524
Phone (215) 517-1100

Other practice location 2

1235 Old York Rd Ste 218
Abington, PA 19001-3841
Phone (215) 517-1100

Other practice location 3

400 Davis Dr Ste 200B
Plymouth Meeting, PA 19462-1718
Phone (215) 242-8260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20220505000373 PA Practitioner - Physician Assistant 4183969587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Centers for Advanced Urology LLPGroup PAC ID 3274800941, 142 clinicians

Practice addresses (Care Compare)

211 S Gulph Rd
Suite 200 the Prostate Center
King of Prussia, PA 19406-3101
Phone (610) 579-3577

400 Davis Dr
Plymouth Meeting, PA 19462-1718
Phone (610) 825-2151

Merit-based Incentive Payment System (MIPS)

Final score
90.14 of 100Reported as group
Promoting interoperability
100
Improvement activities
40
Cost
67.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3027NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physician Services, PC /Dba Midlantic Urology CurrentSince May 16, 2022 Accepting new patients
Alliance Physician Services, PC CurrentSince May 16, 2022 Accepting new patients
Alliance Physician Services, PC Past Accepting new patients
Alliance Physician Services, PC Past Accepting new patients

Locations

1235 Old York Rd
Ste 218
Abington, PA 19001
Phone (215) 517-1100

1235 Old York Rd
Ste 210
Abington, PA 19001
Phone (215) 517-1100

1800 Byberry Rd
Ste 1203
Huntingdon Valley, PA 19006
Phone (215) 517-1100

211 S Gulph Rd
Ste 200
Kng of Prussa, PA 19406
Phone (610) 382-5910

400 Davis Dr
Ste 200B
Plymouth Meeting, PA 19462
Phone (215) 242-8260

140 W Germantown Pike
Ste 250
Plymouth Meeting, PA 19462
Phone (484) 530-0205

656 E Swedesford Rd
Ste 120
Wayne, PA 19087
Phone (610) 273-5320

Interoperability endpoints

  • Direct secure messaging: jkleinschrodt27388@yvfwc.direct-ci.com
  • Direct secure messaging: jkleinschrodt@urologyhealthspecialists.medentdirect.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1530316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1649765751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 SMYTH RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031047007",
            "telephone_number": "603-624-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 SMYTH RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031047007",
            "telephone_number": "603-624-4366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Byberry Rd Ste 1203",
            "address_purpose": "LOCATION",
            "city": "Huntingdon Valley",
            "state": "PA",
            "postal_code": "190063524",
            "country_code": "US",
            "telephone_number": "215-517-1100",
            "fax_number": "215-517-1129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1235 Old York Rd Ste 218",
            "address_purpose": "LOCATION",
            "city": "Abington",
            "state": "PA",
            "postal_code": "190013841",
            "country_code": "US",
            "telephone_number": "215-517-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Davis Dr Ste 200B",
            "address_purpose": "LOCATION",
            "city": "Plymouth Meeting",
            "state": "PA",
            "postal_code": "194621718",
            "country_code": "US",
            "telephone_number": "215-242-8260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEINSCHRODT",
        "first_name": "JACLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-30",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA063477",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "3027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.