Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366846867 Individual Practitioner Female Practitioner

Jacklyn Schaffer , NP

Nurse Practitioner • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Jacklyn Schaffer, NP is a registered healthcare professional specializing in Nurse Practitioner in Fort Wayne, IN. Practice services are available at 2514 E DUPONT RD STE 100 under active NPI credentials.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, infusion, normal saline solution , 1000 cc, infusion into a vein for hydration. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2514 E Dupont Rd Ste 100

Fort Wayne, IN 468251619

Telephone 2604848830
Fax 2604831911
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.2 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
526 Specialists

Practicing in Fort Wayne, IN (2620 Statewide)

Telehealth Adoption Rate
23.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
65.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
31 21 $140.00 $58.01
J7030 Infusion, normal saline solution , 1000 cc
26 20 $10.00 $2.77
96360 Infusion into a vein for hydration, 31-60 minutes
17 13 $110.00 $28.10

Medical Specialties & State Licenses

CMS Verified: 2020-05-06
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IN 71005316A

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License IN 28191291A

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0120115 (OH)
Medicaid State Provider ID
201273240 (IN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Carrie Boots , NP

Nurse Practitioner - Family

NPI 1003012352

Nurse Practitioner

Luann Deafenbaugh , NP

Nurse Practitioner

NPI 1003058454

Nurse Practitioner

Dr. Michael Trevino , MD

Radiology - Diagnostic Radiology

NPI 1023465333

Doctor of Medicine (M.D.)

Dr. Bryan Mcdowell , MD

Radiology - Diagnostic Radiology

NPI 1043715477

Doctor of Medicine (M.D.)

Dr. Praveen Kollipara , MD

Internal Medicine - Hematology & Oncology

NPI 1073515987

Doctor of Medicine (M.D.)

Dr. Scott Goodrich , MD

Obstetrics & Gynecology - Gynecologic Oncology

NPI 1083748966

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location May 06, 2020

Registered at 2514 E DUPONT RD STE 100, FORT WAYNE, IN 468251619 (Tel: 2604848830)

📍
Updated Business Mailing Address May 06, 2020

Registered at 2514 E DUPONT RD STE 100, FORT WAYNE, IN 468251619 (Tel: 2604848830)

📍
Updated Practice Location July 10, 2018

Registered at 11143 PARKVIEW PLAZA DR STE 100, FORT WAYNE, IN 46845 (Tel: 2604848830)

📍
Updated Business Mailing Address July 10, 2018

Registered at 11143 PARKVIEW PLAZA DR STE 100, FORT WAYNE, IN 468451728 (Tel: 2604848830)

NPI Profile Active June 21, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 21, 2016

Registered at 11143 PARKVIEW PLAZA DR, SUITE 100, FORT WAYNE, IN 468451727 (Tel: 2604848830)

📍
Updated Business Mailing Address June 21, 2016

Registered at 11143 PARKVIEW PLAZA DR, SUITE 100, FORT WAYNE, IN 468451727 (Tel: 2604848830)

👤
Provider Name / Credentials Updated June 21, 2016

Recorded as JACKLYN SCHAFFER, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2016

Registered Nurse (License #28191291A in IN)

🟢
Initial NPI Registration & Enumeration October 14, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Jacklyn Schaffer. Be the first to share your experience!

Sign in to leave a review for Jacklyn Schaffer

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1366846867
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 14, 2014
Last Update: May 06, 2020
Sole Proprietor: No

Mailing Address

2514 E Dupont Rd Ste 100

Fort Wayne, IN 468251619

Phone: 2604848830

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.