JACLYN E. CLUSKEY (APN) – Nurse Practitioner, NPI 1871015396
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,198 NURSE PRACTITIONER in CO
Provider Addresses for JACLYN E. CLUSKEY (APN)
2610 TENDERFOOT HILL ST
COLORADO SPRINGS, CO 809063981
Phone: (719) 522-1133
Type: Location
Saint Francis Medical Center, 530, Northeast Glen Oak Avenue, Peoria, Peoria County, Illinois, 61637, United States
PEORIA, IL 616370001
Phone: (309) 624-8818
Fax: (309) 624-8820
Type: Mailing
PO BOX 35380
LAS VEGAS, NV 891335380
Phone: (702) 579-3203
Type: Mailing
6340 BARNES RD
COLORADO SPRINGS, CO 809222602
Phone: (719) 522-1133
Fax: (719) 570-0601
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-09-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220919000341 | I | Nurse Practitioner | CO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 129 | 100 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 106 | 90 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 58 | 54 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 37 | 36 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 30 | 30 | $0 |
Insurance plans in this area (ZIP 80906)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | CO | |
| - | CO | |
| - | CO | |
| - | NC | |
| Family Practice | MO | |
| Family Practice | NV | |
| - | CO | |
| - | CO | |
| - | CO |
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