JACQUELYN M GILL (CNP) – Acute Care Nurse Practitioner, NPI 1285915702

JACQUELYN M GILL (CNP) is a healthcare provider. based in Wadsworth, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. COA.12510-NP (OH). The NPI Number for JACQUELYN M GILL (CNP) is 1285915702

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
JACQUELYN M GILL (CNP)
NPI
1285915702
Phone
Not provided
Address
190 CHESTER AVE
Enumeration Date
30 August 2011
Last Update Date
3 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2164767000
Graduation Year
2011 (15 years ago)
PAC ID
7911170725
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20111021000521
Address ID
OH441115612CL18101AVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for JACQUELYN M GILL (CNP)

  • 190 CHESTER AVE

    WADSWORTH, OH 442818363

    Phone:

    Type: Mailing

  • 9500 EUCLID AVE # E1-001

    CLEVELAND, OH 441952433

    Phone: (216) 444-8486

    Type: Location

  • 400 Wabash Ave

    Suite 9004

    Akron, OH 443072433

    Phone: (330) 344-5995

    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: 2011-10-21

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111021000521INurse PractitionerOHTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 44281)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

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Frequently asked questions

Can I verify JACQUELYN M GILL (CNP) with an NPI only?
You can start verification with NPI 1285915702 for JACQUELYN M GILL (CNP), then check state licensing separately.
Is JACQUELYN M GILL (CNP) still practicing?
JACQUELYN M GILL (CNP) is currently listed as active in the public NPI registry.
What taxonomy line describes JACQUELYN M GILL (CNP)?
For research purposes, treat JACQUELYN M GILL (CNP) as Acute Care Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What area does JACQUELYN M GILL (CNP) serve?
JACQUELYN M GILL (CNP)'s listing highlights Wadsworth, Ohio; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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