JACQUELYN RENEE SHOWALTER (CNP) – Family Nurse Practitioner, NPI 1639884000

JACQUELYN RENEE SHOWALTER (CNP) is a healthcare provider. based in Conneaut, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. CNP.0031978 (OH). The NPI Number for JACQUELYN RENEE SHOWALTER (CNP) is 1639884000

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
JACQUELYN RENEE SHOWALTER (CNP)
NPI
1639884000
Phone
(440) 599-2262
Address
354 W MAIN RD
Enumeration Date
19 January 2023
Last Update Date
24 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4409976969
Graduation Year
2022 (4 years ago)
PAC ID
6709259997
Group Practice PAC ID
2668465600
Professional Enrollment ID
I20230309001554
Address ID
OH440302043CO354XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:3State licenses:2Digital endpointsOther names

14,989 NURSE PRACTITIONER in OH

Provider Addresses for JACQUELYN RENEE SHOWALTER (CNP)

  • 354 W MAIN RD

    CONNEAUT, OH 440302043

    Phone: (440) 599-2262

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 53 Open Payments records for all available years, with a total value of $974.

Total Amount is formed as General ($974) + Research ($0) + Ownership ($0) = $974.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Novo Nordisk Inc ($293).

Total Amount

$974

General + Research + Ownership

Payments

53

Total payment records

General Amount

$974

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-03-09

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
I20230309001554INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes145104$0
99214Established patient office or other outpatient visit, 30-39 minutes8670$0
View full utilization report →

Insurance plans in this area (ZIP 44030)

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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: 2668465600View full group profile
NameSpecialtyState
Hematology/Oncology, Internal MedicineOH
Family PracticeOH
Internal Medicine, Cardiovascular Disease (Cardiology)OH
Family PracticeOH
P O D I A T R YOH
Pain ManagementOH
Family PracticeOH
Nurse PractitionerOH
-PA
P S Y C H I A T R YPA

Reviews

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Frequently asked questions

What federal number belongs to JACQUELYN RENEE SHOWALTER (CNP)?
The federal identifier for JACQUELYN RENEE SHOWALTER (CNP) is NPI 1639884000.
Is JACQUELYN RENEE SHOWALTER (CNP) active in the national directory?
JACQUELYN RENEE SHOWALTER (CNP)'s public NPI profile is in an active state.
Does JACQUELYN RENEE SHOWALTER (CNP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for JACQUELYN RENEE SHOWALTER (CNP). Clinical services aligned with this taxonomy classification.
What location shows for JACQUELYN RENEE SHOWALTER (CNP)?
We surface Conneaut, Ohio for JACQUELYN RENEE SHOWALTER (CNP) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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