Individual provider Active NPI

Jaclyn Worley, CNP

  • Family Nurse Practitioner
  • Whitehall, OH
National Provider Identifier
1962876201
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
381269 Issued in OH
Practice address
5150 E Main St
102
Whitehall, OH 43213-2441
Phone
(614) 328-5555
NPI assigned
Nov 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 381269 OH Primary

Addresses

Primary practice location

5150 E Main St
102
Whitehall, OH 43213-2441

Mailing address

624 Elizabeth Ave
Columbus, OH 43213-2720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, FL, NY, PA, MI, IN, MO, WI, MN, IA11 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 11

Enrollment IDStateProvider typePAC IDDetails
I20160106001971 OH Practitioner - Nurse Practitioner 1951603042 Reassigns benefits to 5 organizations
I20220222002550 KY Practitioner - Nurse Practitioner 1951603042 Reassigns benefits to 2 organizations
I20240814003619 FL Practitioner - Nurse Practitioner 1951603042 Reassigns benefits to 4 organizations
I20260108003005 NY Practitioner - Nurse Practitioner 1951603042 Reassigns benefits to 1 organization
I20260114003854 PA Practitioner - Nurse Practitioner 1951603042 Reassigns benefits to 2 organizations
I20260316001708 MI Practitioner - Nurse Practitioner 1951603042 Reassigns benefits to 3 organizations
I20260512001542 IN Practitioner - Nurse Practitioner 1951603042 Reassigns benefits to 2 organizations
I20260512001991 MO Practitioner - Nurse Practitioner 1951603042 Reassigns benefits to 2 organizations
I20260512003362 WI Practitioner - Nurse Practitioner 1951603042 Reassigns benefits to 3 organizations
I20260512004264 MN Practitioner - Nurse Practitioner 1951603042 Reassigns benefits to 3 organizations
I20260519001001 IA Practitioner - Nurse Practitioner 1951603042 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians
Caremed Health Solutions of Kentucky, LLCGroup PAC ID 4880071299, 24 clinicians
Wound Med LLCGroup PAC ID 2769916915, 33 clinicians

Practice addresses (Care Compare)

11565 Harts Rd
Jacksonville, FL 32218-3777
Phone (904) 751-1834

13995 Clayton Rd
Town and Country, MO 63017-8400
Phone (636) 227-5070

17990 Spencer Rd
Pleasant Valley, IA 52767-1205
Phone (888) 408-7008

1820 Oakview Rd
Ashland, KY 41101-3677
Phone (718) 534-0689

2350 Taft St
Gary, IN 46404-3349
Phone (877) 883-9430

23600 Northline Rd
Taylor, MI 48180-4620
Phone (888) 408-7008

2961 Saint Anthony Dr
Green Bay, WI 54311-5860
Phone (888) 408-7008

3370 High Point Blvd
Bethlehem, PA 18017-7805
Phone (888) 408-7008

3550 Northfield Rd
Shaker Heights, OH 44122-5249
Phone (216) 752-5600

445 Galtier St
Saint Paul, MN 55103-2358
Phone (855) 722-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
381269OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Altea Medical Michigan PLLC CurrentSince Mar 1, 2026 Accepting new patients
Caremed Health Solutions of Kentucky, LLC CurrentSince Oct 11, 2025 Accepting new patients
Matrix Medical of New York PC CurrentSince Jan 1, 2026 Accepting new patients
Matrix Medical Plus CurrentSince Jan 6, 2026 Accepting new patients
Community Care Health Network LLC CurrentSince Jan 1, 2026 Accepting new patients
Post Acute Medical PLLC CurrentSince May 20, 2025 Accepting new patients
Santibanez Pac Ohio Inc CurrentSince Jul 5, 2025 Accepting new patients
Altea Medical Florida PLLC CurrentSince Jul 27, 2025 Accepting new patients
Altea Medical Maryland LLC CurrentSince Mar 1, 2026 Accepting new patients
Wound Med LLC CurrentSince Oct 11, 2025 Accepting new patients
Molina Care Connections, LLC. CurrentSince Mar 28, 2018 Accepting new patients
Caremed Ohio LLC CurrentSince Oct 11, 2025 Accepting new patients

Locations (25 of 32)

400 E Rivulon Blvd
Ste 301
Gilbert, AZ 85297

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

7225 Boca del Mar Dr
Boca Raton, FL 33433
Phone (561) 362-9644

1104 N Main St
Bushnell, FL 33513
Phone (352) 568-8777

1851 Elkcam Blvd
Deltona, FL 32725
Phone (386) 789-3769

8300 NW 33rd St
Ste 400
Doral, FL 33122
Phone (904) 229-7396

11565 Harts Rd
Jacksonville, FL 32218
Phone (904) 571-1834

1010 Carpenters Way
Lakeland, FL 33809
Phone (813) 505-8889

991 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 994-8809

190 NE 191st St
North Miami Beach, FL 33179
Phone (305) 651-9690

4641 Old Canoe Creek Rd
Saint Cloud, FL 34769
Phone (212) 768-0008

2350 Taft St
Gary, IN 46404
Phone (219) 944-2677

1820 Oakview Rd
Ashland, KY 41101
Phone (606) 325-5200

5100 Commerce Crossings Dr
Louisville, KY 40229
Phone (502) 305-6267

1500 Spring St
Petoskey, MI 49770
Phone (231) 344-6600

23600 Northline Rd
Taylor, MI 48180
Phone (734) 287-2840

445 Galtier St
Saint Paul, MN 55103
Phone (651) 224-1848

2115 Kappel Dr
Saint Louis, MO 63136
Phone (314) 867-7474

13995 Clayton Rd
Twn and Cntry, MO 63017
Phone (636) 227-5070

300 Tice Blvd
Ste 175
Woodcliff Lake, NJ 07677

1740 Broadway
Fl 15
New York, NY 10019
Phone (201) 256-5032

3000 Corporate Exchange Dr
Columbus, OH 43231
Phone (614) 942-3042

117 Jacob Parrot Rd
Kenton, OH 43326
Phone (419) 674-4197

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1962876201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 ELIZABETH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 E MAIN ST",
            "address_2": "102",
            "city": "WHITEHALL",
            "state": "OH",
            "postal_code": "432132441",
            "telephone_number": "614-328-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORLEY",
        "first_name": "JACLYN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-24",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "381269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehall, OH

Sources for this page

Verify at the official NPI Registry.