1. Home
  2. Directory
  3. Ohio
  4. Canton
  5. Nurse Practitioner
  6. NPI Profile

JACQUELINE CROSTON APRN-CNP
NPI 1245601103
Nurse Practitioner - Family in Canton, OH

Active since October 16, 2015PECOS EnrolledAccepts Medicare Assignment
88.51/100
CMS Quality Rating
236 3RD ST SW, CANTON, OH 44702(330) 754-4431(330) 244-8839 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 8, 2025, Oct 25, 2023, Mar 10, 2023 and 2 more (5 updates tracked since 2019).

About Jacqueline Croston Aprn-cnp NPPES

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

JACQUELINE CROSTON APRN-CNP (NPI 1245601103) is an individual family provider in Canton, Ohio, licensed in Ohio (APRN.CNP.18259) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1245601103
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACQUELINE CROSTONCredential: APRN-CNP
Location Address236 3RD ST SWCanton, OH 44702-1607
Mailing Address236 3rd St SwCanton, OH 44702-1607 · (330) 754-4431 · Fax (330) 244-8839
Phone(330) 754-4431
Fax(330) 244-8839
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 16, 2015
Last NPPES UpdateApril 8, 20255 updates tracked since enumeration
NPPES CertifiedApril 8, 2025
✔ NPI 1245601103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.18259
236 3RD ST SW, Canton, OH 44702
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacqueline Croston Aprn-cnp 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 ID6002126182
PECOS Enrollment IDI20151102000536
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jacqueline Croston reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pinnacle Care Providers, LLC
Same address
Internal Medicine
236 3RD ST SW
Canton, OH 44702
  • Reassigned Medicare billing, Ohio enrollment
  • 79 clinicians in this Medicare group
NPI 1578799417 (330) 754-4431
Skill Doc 101, LLC
Same address
Internal Medicine
236 3RD ST SW
Canton, OH 44702
  • Reassigned Medicare billing, Ohio enrollment
  • 85 clinicians in this Medicare group
NPI 1043647803 (330) 754-4431
Pai Participant 1 LLC
131 mi
Geriatric Medicine
60 MARIETTA RD
Chillicothe, OH 45601
  • Reassigned Medicare billing, Ohio enrollment
  • 149 clinicians in this Medicare group
NPI 1093371312 (859) 291-4800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
141 services64 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
139 services66 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
127 services50 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
37 services23 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44702 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.

88.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.4
Improvement Activities40
Cost77.15

Other Providers at the Same Location NPPES 20

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

JAMIE PERRINE APRN-CNP
Nurse Practitioner (Family)
236 3RD ST SW
CANTON, OH 44702
Stark County (330) 754-4431
SKILL DOC 101, LLC
Internal Medicine
236 3RD ST SW
CANTON, OH 44702
Stark County (330) 754-4431
PINNACLE WOUND PROVIDERS, LLC
Internal Medicine
236 3RD ST SW
CANTON, OH 44702
Stark County (330) 754-4431
ERIN LYNN METCALF APRN,
Nurse Practitioner (Gerontology)
236 3RD ST SW
CANTON, OH 44702
Stark County (330) 754-4431
KATIE LYNN HOOD APRN
Nurse Practitioner (Family)
236 3RD ST SW
CANTON, OH 44702
Stark County (330) 754-4431
ABBY HANSON APRN-CNP
Nurse Practitioner (Family)
236 3RD ST SW
CANTON, OH 44702
Stark County (330) 754-4431
TIMOTHY GRIFFITHS CNP
Nurse Practitioner
236 3RD ST SW
CANTON, OH 44702
Stark County (330) 754-4431
MRS. GINA MARIE TRAINER MSN, RN, FNP-C
Nurse Practitioner (Family)
236 3RD ST SW
CANTON, OH 44702
Stark County (330) 754-4431

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 Croston's NPI number?

The NPI number for Jacqueline Croston is 1245601103. It was assigned to this individual provider in the NPPES registry on October 16, 2015.

Where is Jacqueline Croston located?

Jacqueline Croston practices at 236 3rd St SW, Canton, OH 44702. The listed phone number is (330) 754-4431.

What is Jacqueline Croston's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jacqueline Croston enrolled in Medicare?

Yes. Jacqueline Croston 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.

Which organizations bill Medicare for Jacqueline Croston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Croston reassigns Medicare benefits to 3 organizations: Pinnacle Care Providers, LLC (Canton, OH), Skill Doc 101, LLC (Canton, OH) and Pai Participant 1 LLC (Chillicothe, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Croston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Croston accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Molina Healthcare list Jacqueline Croston 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.

When was this NPI record last updated?

The NPPES record for Jacqueline Croston was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.