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JACLYN TARA DELAURETIS PA-C
NPI 1518355270
Physician Assistant in Millville, PA

Active since January 05, 2015PECOS EnrolledAccepts Medicare Assignment
515 JERSEYTOWN RD, MILLVILLE, PA 17846(570) 458-5597(570) 458-5114 Get Directions Write a Review

NPPES record last updated: January 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jaclyn Tara Delauretis Pa-c NPPES

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

JACLYN TARA DELAURETIS PA-C (NPI 1518355270) is an individual physician assistant in Millville, Pennsylvania, licensed in Pennsylvania (MA057228) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1518355270
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJACLYN TARA DELAURETISCredential: PA-C
Location Address515 JERSEYTOWN RDMillville, PA 17846-8825
Mailing Address100 N Academy AveDanville, PA 17822-9800 · (570) 271-6144 · Fax (570) 271-6578
Phone(570) 458-5597
Fax(570) 458-5114
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 5, 2015
✔ NPI 1518355270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in PA · MA057228✔ Licensed in PA · OA003421
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
515 JERSEYTOWN RD, Millville, PA 17846
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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 Tara Delauretis 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 ID6204152325
PECOS Enrollment IDI20150309002310, I20240227002683, I20251119000895
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17846 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

KELLY SABALUSKI CRNP
Nurse Practitioner
515 JERSEYTOWN RD
MILLVILLE, PA 17846
Columbia County (570) 458-5597
DR. MICHAEL L. DUBARTELL M.D.
Family Medicine
515 JERSEYTOWN RD
MILLVILLE, PA 17846
Columbia County (570) 458-5597
BRIGID FLYNN PUGH CRNP
Nurse Practitioner (Family)
515 JERSEYTOWN RD
MILLVILLE, PA 17846
Columbia County (570) 458-5597

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 Delauretis's NPI number?

The NPI number for Jaclyn Delauretis is 1518355270. It was assigned to this individual provider in the NPPES registry on January 5, 2015.

Where is Jaclyn Delauretis located?

Jaclyn Delauretis practices at 515 Jerseytown Rd, Millville, PA 17846. The listed phone number is (570) 458-5597.

What is Jaclyn Delauretis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jaclyn Delauretis enrolled in Medicare?

Yes. Jaclyn Delauretis 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.

When was this NPI record last updated?

The NPPES record for Jaclyn Delauretis was last updated on January 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.