Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACLYN BROOKE WHITLOCK APRN
NPI 1699252015
Nurse Practitioner - Family in Shawnee, KS

Active since July 27, 2018PECOS Enrolled
91.25/100
CMS Quality Rating
6022 MARION ST, SHAWNEE, KS 66218(913) 213-1352(949) 561-4135 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 28, 2026, Jun 1, 2023, Jul 27, 2018 (3 updates tracked since 2018).

About Jaclyn Brooke Whitlock Aprn NPPES

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

JACLYN BROOKE WHITLOCK APRN (NPI 1699252015) is an individual family provider in Shawnee, Kansas, licensed in Kansas (53-78241-122) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699252015
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACLYN BROOKE WHITLOCKCredential: APRN
Location Address6022 MARION STShawnee, KS 66218-9254
Mailing Address6022 Marion StShawnee, KS 66218-9254 · (913) 513-2166 · Fax (833) 764-5657
Fax(949) 561-4135
Sole ProprietorNo
Enumeration DateJuly 27, 2018
Last NPPES UpdateJuly 28, 20263 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
NPI 1699252015 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 KS · 53-78241-122
6022 MARION ST, Shawnee, KS 66218

Other Names 1

Former Name (1)Jaclyn Brooke Clancy

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jaclyn Brooke Whitlock Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 66218 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.51
Promoting Interoperability100
Improvement Activities40

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 Whitlock's NPI number?

The NPI number for Jaclyn Whitlock is 1699252015. It was assigned to this individual provider in the NPPES registry on July 27, 2018. The provider is also known as Jaclyn Brooke Clancy.

Where is Jaclyn Whitlock located?

Jaclyn Whitlock practices at 6022 Marion St, Shawnee, KS 66218. The listed phone number is (913) 213-1352.

What is Jaclyn Whitlock's specialty?

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

Is Jaclyn Whitlock enrolled in Medicare?

Yes. Jaclyn Whitlock is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jaclyn Whitlock was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 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.