JACLYN SHOTSKY FNP
NPI 1649795162
Nurse Practitioner - Family in Newark, OH

Q: 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.

Q: What is Jaclyn Shotsky's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: 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 3 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 August 04, 2017PECOS EnrolledAccepts Medicare Assignment

90.31/100

CMS Quality Rating

955 N 21ST ST, NEWARK, OH 43055(740) 366-9082 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 5, 2022, Aug 4, 2017 (2 updates tracked since 2017).

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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

NPI1649795162

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJACLYN SHOTSKYCredential: FNP

Location Address955 N 21ST STNewark, OH 43055-2921

Mailing Address8910 Broad St SwPataskala, OH 43062-7886 · (740) 927-6705

Phone(740) 366-9082

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateAugust 4, 2017

Last NPPES UpdateOctober 5, 20222 updates tracked since enumeration

NPPES CertifiedOctober 5, 2022

✔ NPI 1649795162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OH · APRN.CNP.021259

955 N 21ST ST, Newark, OH 43055

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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 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.

PECOS PAC ID4385918317

PECOS Enrollment IDI20170914002070

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.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

21 services20 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

17 services17 patients

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.

New Patient

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

90.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

82.38

Improvement Activities

Cost

100

Other Providers at the Same Location NPPES 6

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

COURTNEY MADISON RUTTER PHARMD

Pharmacist