JACKLYN SCHAFFER NP
NPI 1366846867
Nurse Practitioner in Fort Wayne, IN

Q: What is Jacklyn Schaffer's NPI number?

The NPI number for Jacklyn Schaffer is 1366846867. It was assigned to this individual provider in the NPPES registry on October 14, 2014.

Q: What is Jacklyn Schaffer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacklyn Schaffer was last updated on May 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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 October 14, 2014

2514 E DUPONT RD STE 100, FORT WAYNE, IN 46825(260) 484-8830(260) 483-1911 Get Directions Write a Review

NPPES record last updated: May 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2020, Jul 10, 2018, Jun 21, 2016 (3 updates tracked since 2016).

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About Jacklyn Schaffer Np NPPES

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

JACKLYN SCHAFFER NP (NPI 1366846867) is an individual nurse practitioner in Fort Wayne, Indiana, licensed in Indiana (71005316A) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1366846867

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJACKLYN SCHAFFERCredential: NP

Location Address2514 E DUPONT RD STE 100Fort Wayne, IN 46825-1619

Mailing Address2514 E Dupont Rd Ste 100Fort Wayne, IN 46825-1619 · (260) 484-8830 · Fax (260) 483-1911

Phone(260) 484-8830

Fax(260) 483-1911

Sole ProprietorNo

Enumeration DateOctober 14, 2014

Last NPPES UpdateMay 6, 20203 updates tracked since enumeration

NPPES CertifiedMay 6, 2020

✔ NPI 1366846867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IN · 71005316A

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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 28191291A (IN)

2514 E DUPONT RD STE 100, Fort Wayne, IN 46825

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Other Identifiers 2

Medicaid0120115OH

Medicaid201273240IN

Other Providers at the Same Location NPPES 17

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

DR. SCOTT T GOODRICH M.D.

Obstetrics & Gynecology (Gynecologic Oncology)