Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaclyn Shotsky, FNP

Individual provider Family Nurse Practitioner · NPI 1649795162

Jaclyn Shotsky, FNP is a Nurse Practitioner in Newark, Ohio. Qualified in 2017, 9 years ago. Practices with Minuteclinic Primary Care Ohio LLC, a 15-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
9
Licensed in
OH
In the registry since
2017
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

955 N 21st St
Newark, OH 43055-2921
Phone: (740) 366-9082
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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 APRN.CNP.021259 (OH)

Record details

NPI number1649795162
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 4, 2017
Last updated in NPPESOctober 5, 2022
Certification dateOctober 5, 2022
Mailing address8910 Broad St Sw, Pataskala, OH 43062-7886

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Minuteclinic Primary Care Ohio Llc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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