Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jaclyn A. Fisher, FNP-C

Individual provider Family Nurse Practitioner · NPI 1225515448

Jaclyn A. Fisher, FNP-C is a Nurse Practitioner in Middletown, New York. Qualified in 2018, 8 years ago. Practices with Crystal Run Healthcare Physicians LLP, a 366-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2018
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

95 Crystal Run Rd
Middletown, NY 10941
Phone: (845) 703-6999
Fax: (845) 703-6297
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F343407 (NY)

Record details

NPI number1225515448
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJuly 20, 2018
Last updated in NPPESAugust 13, 2020
Certification dateAugust 13, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Crystal Run Healthcare Physicians Llp — 366 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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