JACLYN SHOTSKY FNP
NPI 1649795162
Nurse Practitioner - Family in Newark, OH
About Jaclyn Shotsky Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACLYN SHOTSKY FNP (NPI 1649795162) is an individual family provider in Newark, Ohio, licensed in Ohio (APRN.CNP.021259) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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 Shotsky Fnp 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 Shotsky reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hilliard, OH 43026
- Reassigned Medicare billing, Ohio enrollment
- 246 clinicians in this Medicare group
Hilliard, OH 43026
- Reassigned Medicare billing, Ohio enrollment
- 172 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.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43055 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 8
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 Shotsky's NPI number?
The NPI number for Jaclyn Shotsky is 1649795162. It was assigned to this individual provider in the NPPES registry on August 4, 2017.
Where is Jaclyn Shotsky located?
Jaclyn Shotsky practices at 955 N 21st St, Newark, OH 43055. The listed phone number is (740) 366-9082.
What is Jaclyn Shotsky's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jaclyn Shotsky enrolled in Medicare?
Yes. Jaclyn Shotsky 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 Shotsky's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Shotsky reassigns Medicare benefits to 2 organizations: Minuteclinic Diagnostic Of Ohio LLC (Hilliard, OH) and Minuteclinic Primary Care Ohio LLC (Hilliard, OH). 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 Shotsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jaclyn Shotsky accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource, CareSource (Common Ground Healthcare), MedMutual and Oscar Health Insurance list Jaclyn Shotsky 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.
When was this NPI record last updated?
The NPPES record for Jaclyn Shotsky was last updated on October 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jaclyn Shotsky, FNP · NPI 1649795162
Family physician in Newark, Ohio. Individual provider, active in the CMS NPPES registry since August 4, 2017.
## Identity
- **NPI:** 1649795162 (Entity type: Individual)
- **Enumerated:** August 4, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN.CNP.021259 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 955 N 21ST ST, Newark, OH 43055-2921
- **Phone:** (740) 366-9082
## 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): Minuteclinic Diagnostic Of Ohio LLC (NPI 1699747303, Hilliard, OH); Minuteclinic Primary Care Ohio LLC (NPI 1285441766, Hilliard, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** October 5, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1649795162) · Data from the CMS NPPES public registry.