MRS. JACQUELYNN R MCCONNAUGHEY
NPI 1073343091
Nurse Practitioner in Wilmington, OH

Active since August 05, 2024PECOS EnrolledAccepts Medicare Assignment
2107 ROMBACH AVE, WILMINGTON, OH 45177(937) 383-1040 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Jacquelynn R Mcconnaughey NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JACQUELYNN R MCCONNAUGHEY (NPI 1073343091) is an individual nurse practitioner in Wilmington, Ohio, licensed in Ohio (APRN.CNP.0036944) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1073343091
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. JACQUELYNN R MCCONNAUGHEY
Location Address2107 ROMBACH AVEWilmington, OH 45177-2099
Mailing Address229 North StGreenfield, OH 45123-1333 · (937) 509-0542
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 5, 2024
NPPES CertifiedJuly 5, 2024
NPI 1073343091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in OH · APRN.CNP.0036944
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2107 ROMBACH AVE, Wilmington, OH 45177

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jacquelynn R Mcconnaughey is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628500089
PECOS Enrollment IDI20241010002397
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45177 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Urgent Care)
2107 ROMBACH AVE
WILMINGTON, OH 45177
Nurse Practitioner (Family)
2107 ROMBACH AVE
WILMINGTON, OH 45177
Nurse Practitioner (Family)
2107 ROMBACH AVE
WILMINGTON, OH 45177

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073343091, enumerated as an "individual" on August 05, 2024.

The provider is located at 2107 ROMBACH AVE WILMINGTON, OH 45177 and the phone number is (937) 383-1040.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.