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

Individual provider Nurse Practitioner · NPI 1508416173

Jacqueline Degen, AGACNP-BC is a Nurse Practitioner in Kettering, Ohio. Qualified in 2018, 8 years ago. Practices with Northeast Internal Medicine Associates, PC, a 53-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
8
Licensed in
OH
In the registry since
2019
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Practice location Address checks out

580 Lincoln Park Blvd Ste 320
Kettering, OH 45429-3493
Phone: (937) 299-6980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 433 W High St, Bryan, OH 43506-1690 — (260) 463-2133

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN.CNP.023831 (OH)

Record details

NPI number1508416173
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedSeptember 16, 2019
Last updated in NPPESMarch 20, 2026
Certification dateMarch 20, 2026

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 Northeast Internal Medicine Associates, Pc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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