Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACLYN JOSEPHINE KETTYLE PA-C
NPI 1245882968
Physician Assistant - Surgical in New Brunswick, NJ

Q: What is Jaclyn Kettyle's NPI number?

The NPI number for Jaclyn Kettyle is 1245882968. It was assigned to this individual provider in the NPPES registry on July 12, 2019.

Q: What is Jaclyn Kettyle's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Kettyle was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.

Active since July 12, 2019PECOS Enrolled

1 ROBERT WOOD JOHNSON PL, NEW BRUNSWICK, NJ 08901(732) 828-3000 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 17, 2026, Jul 23, 2021, Oct 6, 2020 and 1 more (4 updates tracked since 2019).

On this page

About Jaclyn Josephine Kettyle Pa-c NPPES

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

JACLYN JOSEPHINE KETTYLE PA-C (NPI 1245882968) is an individual surgical provider in New Brunswick, New Jersey, licensed in New Jersey (25MP00574100) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1245882968

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameJACLYN JOSEPHINE KETTYLECredential: PA-C

Location Address1 ROBERT WOOD JOHNSON PLNew Brunswick, NJ 08901-1928

Mailing AddressPo Box 829642Philadelphia, PA 19182-9642 · (866) 470-6626 · Fax (413) 599-0470

Phone(732) 828-3000

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 12, 2019

Last NPPES UpdateAugust 17, 20264 updates tracked since enumeration

NPPES CertifiedAugust 17, 2026

✔ NPI 1245882968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

Licenses✔ Licensed in NJ · 25MP00574100✔ Licensed in CT · 4510

1 ROBERT WOOD JOHNSON PL, New Brunswick, NJ 08901

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Jaclyn Josephine Kettyle Pa-c 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 ID4183035090

PECOS Enrollment IDI20201125002073

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

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.

16 services11 patients

Hospital Affiliations CMS Care Compare

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

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310038

LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County

Emergency services Birthing friendly

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.

LOKESH LAHOTI

Internal Medicine

1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 823-3000

BILLIE S FYFE KIRSCHNER MD

Pathology (Anatomic Pathology)

1 ROBERT WOOD JOHNSON PL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NEW BRUNSWICK
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 937-8651

LISANNE HAUCK

Pediatrics (Pediatric Critical Care Medicine)

1 ROBERT WOOD JOHNSON PL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - NEW BRUNSWICK
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 235-7900

DANIEL NOTTERMAN

Pediatrics (Pediatric Critical Care Medicine)

1 ROBERT WOOD JOHNSON PL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - NEW BRUNSWICK
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 235-7900

SHAUL COHEN MD

Anesthesiology

1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 937-8841

AMANDA BORHAM M.D.

Internal Medicine

1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 235-7794

DEVON AMANDA ORZANO APN

Nurse Practitioner (Acute Care)

1 ROBERT WOOD JOHNSON PL, 2 CORE - RM. 257
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 828-3000

GAMAL MOHAMED MD

Emergency Medicine

1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 828-3000

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 Jaclyn Kettyle's NPI number?

The NPI number for Jaclyn Kettyle is 1245882968. It was assigned to this individual provider in the NPPES registry on July 12, 2019.

Where is Jaclyn Kettyle located?

Jaclyn Kettyle practices at 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901. The listed phone number is (732) 828-3000.

What is Jaclyn Kettyle's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jaclyn Kettyle enrolled in Medicare?

Yes. Jaclyn Kettyle 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 Jaclyn Kettyle accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Jaclyn Kettyle 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 Jaclyn Kettyle affiliated with any hospitals?

According to CMS data, Jaclyn Kettyle is affiliated with Robert Wood Johnson University Hospital.

When was this NPI record last updated?

The NPPES record for Jaclyn Kettyle was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.