Jaclyn Suzanne Sealy, APRN PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APN.1000063-NP Issued in CO

Practice address

12041 Tejon St
Westminster, CO 80234-2314

Phone

(303) 993-7356

NPI assigned

Aug 27, 2024

Sex

Female

Sole proprietor

Yes

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 CO

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, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amavi Integrative Mental Wellness LLCGroup PAC ID 4082043401, 27 clinicians

Homedoc, PCGroup PAC ID 2961936927, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Amavi Integrative Mental Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Niwot, CO
  • NPI 1841823994

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Emeraldblue LLC

  • Psychiatry Physician
  • Broomfield, CO
  • NPI 1760369300

  Single Specialty

  Medicare reassignment NPD Authorized official
• Homedoc, PC

  dba Colorado HomeDoc

  • Internal Medicine Physician
  • Erie, CO
  • NPI 1821818832

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Colorado Assessment and Treatment Center

  • Professional Counselor
  • Denver, CO
  • NPI 1194997403
  NPD (past)

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1982438586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 EMERALD ST",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800202328",
            "telephone_number": "303-909-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12041 TEJON ST",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342314",
            "telephone_number": "303-993-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEALY",
        "first_name": "JACLYN",
        "middle_name": "SUZANNE",
        "credential": "APRN PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.1000063-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Scott, MT-BC, NMT
• Marissa Paige Scowcroft
• Carolyn Doreen Scudder, LCSW
• Sdi LLC
• Robb Seal, C.M.T.
• Dakota Ann Sears, DPT
• Seasons Hospice & Palliative Care of Colorado LLC (AccentCare Hospice & Palliative Care of Colorado)
• Seasons Medical Group of Colorado, PC (AccentCare Medical Group of Colorado)
• Brenna Seawalt
• Sherissa-Nicole Martinez Sebastian, DNP, PMHNP-BC, APRN

• Psychiatric/Mental Health Nurse Practitioner in Westminster, CO
• Providers in Westminster, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.