JACLYN MIRAULT MD
NPI 1558757047
Obstetrics & Gynecology in Harrisburg, PA
About Jaclyn Mirault Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACLYN MIRAULT MD (NPI 1558757047) is an individual obstetrics & gynecology provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (MD467703) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Upmc Pinnacle Hospitals, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
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
Jaclyn Mirault Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jaclyn Mirault reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Harrisburg, PA 17110
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,902 clinicians in this Medicare group
Mechanicsburg, PA 17050
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,216 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Upmc Pinnacle Hospitals
Acute Care Hospitals · Harrisburg, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17110 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mirault's NPI number?
The NPI number for Jaclyn Mirault is 1558757047. It was assigned to this individual provider in the NPPES registry on April 10, 2015.
Where is Jaclyn Mirault located?
Jaclyn Mirault practices at 2645 N 3rd St Fl 4, Harrisburg, PA 17110. The listed phone number is (717) 782-4700.
What is Jaclyn Mirault's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Jaclyn Mirault enrolled in Medicare?
Yes. Jaclyn Mirault 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 Jaclyn Mirault's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Mirault reassigns Medicare benefits to 2 organizations: Pinnacle Health Medical Services (Harrisburg, PA) and Milton S Hershey Medical Center Physicians Group (Mechanicsburg, PA). 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 Jaclyn Mirault's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jaclyn Mirault affiliated with any hospitals?
According to CMS data, Jaclyn Mirault is affiliated with Upmc Pinnacle Hospitals.
When was this NPI record last updated?
The NPPES record for Jaclyn Mirault was last updated on November 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Jaclyn Mirault, MD · NPI 1558757047
Obstetrics & Gynecology physician in Harrisburg, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 10, 2015.
## Identity
- **NPI:** 1558757047 (Entity type: Individual)
- **Enumerated:** April 10, 2015
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** MD467703 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 2645 N 3RD ST FL 4, Harrisburg, PA 17110-2034
- **Phone:** (717) 782-4700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Pinnacle Health Medical Services (NPI 1558936757, Harrisburg, PA); Milton S Hershey Medical Center Physicians Group (NPI 1235678939, Mechanicsburg, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** November 29, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1558757047) · Data from the CMS NPPES public registry.