Active NPI
Jaclyn Worley, CNP
- Family Nurse Practitioner
- Whitehall, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 381269
- 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
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 |
|---|---|---|---|---|
| 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, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 11
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 381269 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altea Medical Michigan PLLC | Current | Accepting new patients | |
| Caremed Health Solutions of Kentucky, LLC | Current | Accepting new patients | |
| Matrix Medical of New York PC | Current | Accepting new patients | |
| Matrix Medical Plus | Current | Accepting new patients | |
| Community Care Health Network LLC | Current | Accepting new patients | |
| Post Acute Medical PLLC | Current | Accepting new patients | |
| Santibanez Pac Ohio Inc | Current | Accepting new patients | |
| Altea Medical Florida PLLC | Current | Accepting new patients | |
| Altea Medical Maryland LLC | Current | Accepting new patients | |
| Wound Med LLC | Current | Accepting new patients | |
| Molina Care Connections, LLC. | Current | Accepting new patients | |
| Caremed Ohio LLC | Current | 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.
-
- Nursing Care Agency
- Shaker Heights, OH
- NPI 1790521060
-
- Multi-Specialty Clinic/Center
- Ashland, KY
- NPI 1326789462
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
FL, IA, IN, MI, MN, MO, PA, WI
-
- Multi-Specialty Clinic/Center
- Kenton, OH
- NPI 1669123949
-
- Geriatric Medicine (Internal Medicine) Physician
- Rittman, OH
- NPI 1245005842
-
- Geriatric Medicine (Internal Medicine) Physician
- Saint Cloud, FL
- NPI 1083493860
-
- Geriatric Medicine (Internal Medicine) Physician
- Westminster, MD
- NPI 1770301277
IA, MI
-
- Geriatric Medicine (Internal Medicine) Physician
- Plymouth, MI
- NPI 1053142000
-
- Nurse Practitioner
- New York, NY
- NPI 1639433063
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.