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JACLYN KAISER GAULDEN N.P.
NPI 1821039413
Nurse Practitioner - Family in Spartanburg, SC

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
101 E WOOD ST, SPARTANBURG, SC 29303(864) 560-6000(864) 560-4023 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jaclyn Kaiser Gaulden N.p. NPPES

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

JACLYN KAISER GAULDEN N.P. (NPI 1821039413) is an individual family provider in Spartanburg, South Carolina, licensed in South Carolina (APN2664) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1821039413
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACLYN KAISER GAULDENCredential: N.P.
Location Address101 E WOOD STSpartanburg, SC 29303-3040
Mailing AddressPo Box 277723Atlanta, GA 30384-7723 · (864) 560-4123 · Fax (864) 560-4023
Phone(864) 560-6000
Fax(864) 560-4023
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJune 8, 2006
Last NPPES UpdateFebruary 4, 2026
NPPES CertifiedFebruary 4, 2026
✔ NPI 1821039413 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 SC · APN2664
101 E WOOD ST, Spartanburg, SC 29303
Open in Google Maps ↗

Other Identifiers 1

MedicaidNP0963SC

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 Kaiser Gaulden N.p. 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 ID42230559
PECOS Enrollment IDI20051129000899
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420007
Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29303 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

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.

DR. TONDRE BUCK M.D.
Internal Medicine (Hematology & Oncology)
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-7050
ADAM KEITH RAYNES
Nurse Anesthetist, Certified Registered
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6000
RAJAN BHATT
Student in an Organized Health Care Education/Training Program
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6285
NICHOLE TACKETT DO
Surgery
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6285
PATRICIA C. GRIFFIN MD
Radiology (Radiation Oncology)
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6917
DR. VIKAS DEMBLA M.D.
Internal Medicine (Hematology & Oncology)
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-7050
DR. ANDREW OMOIT EKATAN M.D.
Internal Medicine
101 E WOOD ST, SUITE 401
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6654
STETSON REED BICKLEY M.D.
Radiology (Diagnostic Radiology)
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6522

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 Gaulden's NPI number?

The NPI number for Jaclyn Gaulden is 1821039413. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Jaclyn Gaulden located?

Jaclyn Gaulden practices at 101 E Wood St, Spartanburg, SC 29303. The listed phone number is (864) 560-6000.

What is Jaclyn Gaulden's specialty?

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

Is Jaclyn Gaulden enrolled in Medicare?

Yes. Jaclyn Gaulden 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.

Is Jaclyn Gaulden affiliated with any hospitals?

According to CMS data, Jaclyn Gaulden is affiliated with Spartanburg Medical Center.

When was this NPI record last updated?

The NPPES record for Jaclyn Gaulden was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.