MISS JACLYNN PAULINE BACK APRN
NPI 1770835506
Nurse Practitioner - Family in Newark, OH
About Miss Jaclynn Pauline Back Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS JACLYNN PAULINE BACK APRN (NPI 1770835506) is an individual family provider in Newark, Ohio, licensed in Ohio (APRN.CNP.13665) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Miss Jaclynn Pauline Back Aprn 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.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEWARK, OH 43055
NEWARK, OH 43055
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 Jaclynn Back's NPI number?
The NPI number for Jaclynn Back is 1770835506. It was assigned to this individual provider in the NPPES registry on October 3, 2012.
Where is Jaclynn Back located?
Jaclynn Back practices at 1445 W Main St, Newark, OH 43055. The listed phone number is (513) 834-7063.
What is Jaclynn Back's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jaclynn Back enrolled in Medicare?
Yes. Jaclynn Back 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.
What insurance does Jaclynn Back accept?
Health plans from Antidote Health Plan of Ohio, Inc., Blue Cross and Blue Shield of NC, BridgeSpan Health Company, CareSource and MedMutual and 2 other insurers list Jaclynn Back 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 Jaclynn Back was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Miss Jaclynn Pauline Back, APRN · NPI 1770835506
Family physician in Newark, Ohio. Individual provider, active in the CMS NPPES registry since October 3, 2012.
## Identity
- **NPI:** 1770835506 (Entity type: Individual)
- **Enumerated:** October 3, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN.CNP.13665 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1445 W MAIN ST, Newark, OH 43055-1989
- **Phone:** (513) 834-7063 · **Fax:** (513) 873-1567
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** October 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1770835506) · Data from the CMS NPPES public registry.