JACQUELINE S SHRIVER CRNP
NPI 1083606610
Nurse Practitioner - Women's Health in Saint Marys, OH

Active since August 19, 2005PECOS EnrolledAccepts Medicare Assignment
85.3/100
CMS Quality Rating
1140 S KNOXVILLE AVE STE B, SAINT MARYS, OH 45885(419) 394-7314(419) 394-7313 Get Directions Write a Review

NPPES record last updated: April 19, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 19, 2021, Aug 10, 2020, Oct 9, 2018 (3 updates tracked since 2018).

About Jacqueline S Shriver Crnp NPPES

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

JACQUELINE S SHRIVER CRNP (NPI 1083606610) is an individual women's health provider in Saint Marys, Ohio, licensed in Ohio (NP2122) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Grand Lake Health System, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1083606610
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameJACQUELINE S SHRIVERCredential: CRNP
Location Address1140 S KNOXVILLE AVE STE BSaint Marys, OH 45885-2609
Mailing Address200 Saint Clair AveSaint Marys, OH 45885-2400 · (419) 300-1129 · Fax (419) 394-9575
Fax(419) 394-7313
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateAugust 19, 2005
Last NPPES UpdateApril 19, 20213 updates tracked since enumeration
NPPES CertifiedApril 19, 2021
NPI 1083606610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in OH · NP2122
1140 S KNOXVILLE AVE STE B, Saint Marys, OH 45885

Secondary Practice Locations 2

Location 14 Eagle Dr Ste BMinster, OH 45865-9714 · Phone (419) 394-7314 · Fax (419) 394-7314
Location 2801 Pro Dr Ste D3Celina, OH 45822-3307 · Phone (419) 394-7314 · Fax (419) 394-7313

Other Identifiers 6

Medicaid0742307OH
OtherH561340OH · Medicare Ptan
Other1184652539OH · Group Npi
Other0105065OH · Medicaid Group
Other9934723OH · Group Medicare
Other34-1689161OH · Group Tax Id

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

Jacqueline S Shriver Crnp 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 ID5698765097
PECOS Enrollment IDI20040517001099
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
61 services56 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
22 services22 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
20 services20 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Grand Lake Health System

Acute Care Hospitals · Saint Marys, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360032
Location200 Saint Clair StreetSaint Marys, OH 45885 · Auglaize County
Emergency services Birthing friendly

Mercer County Joint Township Community Hospital

Acute Care Hospitals · Coldwater, OH
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number360058
Location800 West Main StreetColdwater, OH 45828 · Mercer County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45885 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.63
Promoting Interoperability98
Improvement Activities40
Cost69.04

Other Providers at the Same Location NPPES 6

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

Advanced Practice Midwife
1140 S KNOXVILLE AVE STE B
SAINT MARYS, OH 45885
Nurse Practitioner
1140 S KNOXVILLE AVE STE B
SAINT MARYS, OH 45885
Advanced Practice Midwife
1140 S KNOXVILLE AVE STE B
SAINT MARYS, OH 45885
Advanced Practice Midwife
1140 S KNOXVILLE AVE STE B
SAINT MARYS, OH 45885
Obstetrics & Gynecology
1140 S KNOXVILLE AVE STE B
SAINT MARYS, OH 45885
Advanced Practice Midwife
1140 S KNOXVILLE AVE STE B
SAINT MARYS, OH 45885

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Shriver's NPI number?

The NPI number for Jacqueline Shriver is 1083606610. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Where is Jacqueline Shriver located?

Jacqueline Shriver practices at 1140 S Knoxville Ave Ste B, Saint Marys, OH 45885. The listed phone number is (419) 394-7314.

What is Jacqueline Shriver's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Jacqueline Shriver enrolled in Medicare?

Yes. Jacqueline Shriver is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacqueline Shriver accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Jacqueline Shriver as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jacqueline Shriver affiliated with any hospitals?

According to CMS data, Jacqueline Shriver is affiliated with Grand Lake Health System and Mercer County Joint Township Community Hospital.

When was this NPI record last updated?

The NPPES record for Jacqueline Shriver was last updated on April 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.