Jaclyn M Debruyne, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP.023029 Issued in OH

Practice address

553 E Manhattan Blvd
Toledo, OH 43608-1216

Phone

(419) 219-7001

Fax

(567) 316-6462

NPI assigned

Aug 14, 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

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

Toledo Medical College, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Osh-Oh Physicians Group PC 67 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112
• Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jaclyndebruyne@nha.allscriptsdirect.net

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.

• Osh-Oh Physicians Group PC

  • Primary Care Clinic/Center
  • Cleveland, OH
  • NPI 1346747946

  OH

  Medicare reassignment Care Compare group NPD
• Neighborhood Health Association of Toledo, Inc

  • Federally Qualified Health Center (FQHC)
  • Toledo, OH
  • NPI 1912330689

  OH

  Medicare reassignment NPD
• Neighborhood Health Association of Toledo, Inc.

  • Federally Qualified Health Center (FQHC)
  • Toledo, OH
  • NPI 1861857732

  OH

  Medicare reassignment NPD
• Neighborhood Health Association of Toledo, Inc

  • Federally Qualified Health Center (FQHC)
  • Toledo, OH
  • NPI 1063533164
  NPD
• Neighborhood Health Association of Toledo, Inc.

  • Federally Qualified Health Center (FQHC)
  • Toledo, OH
  • NPI 1578364246
  NPD
• Neighborhood Health Association of Toledo, Inc.

  • Federally Qualified Health Center (FQHC)
  • Toledo, OH
  • NPI 1861513343
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Health - St Vincent Medical Center LLC

  • General Acute Care Hospital
  • Toledo, OH
  • NPI 1467493551

  Hospital

  Care Compare affiliation
• The Toledo Hospital

  • General Acute Care Hospital
  • Toledo, OH
  • NPI 1407854771

  Hospital

  Care Compare affiliation
• Toledo Hospital

  • Ambulance
  • Toledo, OH
  • NPI 1427147339

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1982183554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 N WEST ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014332",
            "telephone_number": "419-221-3072",
            "fax_number": "419-225-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 E MANHATTAN BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436081216",
            "telephone_number": "419-219-7001",
            "fax_number": "567-316-6462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 Starr Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436052522",
            "country_code": "US",
            "telephone_number": "567-218-1900",
            "fax_number": "419-225-8878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEBRUYNE",
        "first_name": "JACLYN",
        "middle_name": "M",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "CNP.023029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin M Debeukelaer, MD
• Joseph Michael Debiase, MD
• Ryan Debiec
• Heather Rae Debouver, LSW
• Debra'S Home Care / Residental Facilities / Educational Services
• Deca Health, Inc
• Carlos A, Decarvalho, M.D.
• Jai-Charles Decembly
• Brianna Dechristopher
• David Colin Decker, RPH

• All providers in Toledo, OH
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.