Jaclyn Brooke Whitlock, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

53-78241-122 Issued in KS

Practice address

6022 Marion St
Shawnee, KS 66218-9254

Phone

(913) 213-1352

Fax

(949) 561-4135

NPI assigned

Jul 27, 2018

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

Other names 1

• Jaclyn Brooke Clancy Former name

Medicare fee-for-service enrollment

Enrolled in KS, TN, MO3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jayhawk Primary Care Inc

  • Family Medicine Physician
  • Shawnee, KS
  • NPI 1528025053
  Medicare reassignment NPD
• Kansas University Physicians Inc

  • Internal Medicine Physician
  • Kansas City, KS
  • NPI 1003858333
  Medicare reassignment NPD
• Signify Health Medical Associates of Kansas LLC

  • Multi-Specialty Clinic/Center
  • Wichita, KS
  • NPI 1780261701
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  TN

  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  MO

  Medicare reassignment NPD
• Wellcare, LLC

  • Primary Care Nurse Practitioner
  • Overland Park, KS
  • NPI 1558077503
  NPD Authorized official
• Jayhawk Primary Care Inc

  • Internal Medicine Physician
  • Kansas City, KS
  • NPI 1376324152
  NPD
• Jayhawk Primary Care Inc

  • Internal Medicine Physician
  • Overland Park, KS
  • NPI 1982845970
  NPD
• Kansas University Physicians Inc

  • Cardiovascular Disease Physician
  • Kansas City, KS
  • NPI 1407637291
  NPD
• Kansas University Physicians Inc

  • Internal Medicine Physician
  • Kansas City, KS
  • NPI 1699811521
  NPD

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1699252015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6022 MARION ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662189254",
            "telephone_number": "913-513-2166",
            "fax_number": "833-764-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6022 MARION ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662189254",
            "telephone_number": "913-213-1352",
            "fax_number": "949-561-4135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLOCK",
        "first_name": "JACLYN",
        "middle_name": "BROOKE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-78241-122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACLYN",
            "last_name": "CLANCY",
            "middle_name": "BROOKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Westglen Endoscopy Center LLC
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• Westglen Eyecare PA
• Westglen Gastrointestinal Consultants PA
• Susan Marie Whitaker, LBSW
• Heidi Rae Wickersham, LMSW
• Sheryl Kay Wilde, LPC
• Rhiannon Wilhite, OTD
• Amber Marie Williams, FNP-BC
• Angela M Williams, DDS, MS

• Family Nurse Practitioner in Shawnee, KS
• Providers in Shawnee, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.