Jaclyn Shotsky, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.021259 Issued in OH

Practice address

955 N 21St St
Newark, OH 43055-2921

Phone

(740) 366-9082

NPI assigned

Aug 4, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minuteclinic Primary Care Ohio LLCGroup PAC ID 6305345513, 19 clinicians

Minuteclinic Diagnostic of Ohio LLCGroup PAC ID 2961425608, 192 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989

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.

• Minuteclinic Diagnostic of Ohio LLC

  • Family Nurse Practitioner
  • Hilliard, OH
  • NPI 1699747303
  Medicare reassignment Care Compare group NPD
• Minuteclinic Primary Care Ohio LLC

  • Family Nurse Practitioner
  • Hilliard, OH
  • NPI 1285441766
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1649795162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8910 BROAD ST SW",
            "city": "PATASKALA",
            "state": "OH",
            "postal_code": "430627886",
            "telephone_number": "740-927-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 N 21ST ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430552921",
            "telephone_number": "740-366-9082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOTSKY",
        "first_name": "JACLYN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-04",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.021259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janine C. Shipley, R.PH
• Benjamin Jack Shirley
• Jillian M Sholl, L.M.T.
• Ashton Shook
• Faye Lynette Short
• Showtime Strength and Rehab
• Frances Lucille Shreiner
• Christine Marie Shumate, RN
• Deborah Shy
• Wendy Siegel

• Family Nurse Practitioner in Newark, OH
• Providers in Newark, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.

Verify at the official NPI Registry.