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

Jacqueline A Gillern, CRNP-APMH

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1063982759

Jacqueline A Gillern, CRNP-APMH is a Nurse Practitioner in Waymart, Pennsylvania. Qualified in 1997, 29 years ago. Practices with Children's Service Center of Wyoming Valley Inc, a 32-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
29
Licensed in
PA
In the registry since
2018

Practice location Address checks out

11 Farview Rd
Waymart, PA 18472-7700
Phone: (570) 488-5811
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence SP019487 (PA)

Record details

NPI number1063982759
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP-APMH
Sole proprietorNo
NPI enumeratedNovember 26, 2018
Last updated in NPPESNovember 26, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Children'S Service Center Of Wyoming Valley Inc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Waymart