DR. JACLYN ASHLEY ZABOLOTNY DNP, APRN, FNP-BC
NPI 1447064480
Nurse Practitioner - Family in Golden Valley, MN
About Dr. Jaclyn Ashley Zabolotny Dnp, Aprn, Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACLYN ASHLEY ZABOLOTNY DNP, APRN, FNP-BC (NPI 1447064480) is an individual family provider in Golden Valley, Minnesota, licensed in Minnesota (13951) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jaclyn Ashley Zabolotny Dnp, Aprn, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55422 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GOLDEN VALLEY, MN 55422
GOLDEN VALLEY, MN 55422
GOLDEN VALLEY, MN 55422
GOLDEN VALLEY, MN 55422
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 Zabolotny's NPI number?
The NPI number for Jaclyn Zabolotny is 1447064480. It was assigned to this individual provider in the NPPES registry on February 1, 2025.
Where is Jaclyn Zabolotny located?
Jaclyn Zabolotny practices at 820 Lilac Dr N Ste 140, Golden Valley, MN 55422. The listed phone number is (763) 465-0500.
What is Jaclyn Zabolotny's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jaclyn Zabolotny enrolled in Medicare?
Yes. Jaclyn Zabolotny is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jaclyn Zabolotny was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 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.
# Dr. Jaclyn Ashley Zabolotny, DNP, APRN, FNP-BC · NPI 1447064480
Family physician in Golden Valley, Minnesota. Individual provider, active in the CMS NPPES registry since February 1, 2025.
## Identity
- **NPI:** 1447064480 (Entity type: Individual)
- **Enumerated:** February 1, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 13951 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 820 LILAC DR N STE 140, Golden Valley, MN 55422-4791
- **Phone:** (763) 465-0500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** July 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1447064480) · Data from the CMS NPPES public registry.