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

Jacquelyn Marie Carroll

Individual provider Gerontology Nurse Practitioner · NPI 1972359263

Jacquelyn Marie Carroll is a Nurse Practitioner in Greensburg, Pennsylvania. Qualified in 2022, 4 years ago. Practices with Excela Health Physician Practices, Inc, a 473-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
4
Licensed in
PA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

530 S St Fl 2
Greensburg, PA 15601-2775
Phone: (724) 837-1894
Fax: (724) 837-0681
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence SP028390 (PA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence SP028390 (PA)

Record details

NPI number1972359263
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 26, 2024
Last updated in NPPESFebruary 13, 2025
Certification dateFebruary 13, 2025
Mailing address530 South St Fl 2, Greensburg, PA 15601-2775

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Excela Health Physician Practices, Inc — 473 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Greensburg