Jaclyn Park
NPI 1851783708 · Physician Assistant · Roanoke, VA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jaclyn Park is a Physician Assistant provider in Roanoke, VA (NPI 1851783708).
Provider details
- NPI number
- 1851783708
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 0110-004841 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-03-02
- Last updated
- 2025-10-17
- Certified
- 2025-10-17
Frequently asked questions
- What is Jaclyn Park's NPI number?
- Jaclyn Park's National Provider Identifier (NPI) is 1851783708, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jaclyn Park's specialty?
- Jaclyn Park is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jaclyn Park located?
- Jaclyn Park's practice location on file with NPPES is 1906 Belleview Ave Se, Roanoke, VA 24014-1838.
- What is Jaclyn Park's phone number?
- The practice phone number listed in the NPPES registry for Jaclyn Park is (540) 981-7000.
- Does Jaclyn Park accept Medicare?
- Jaclyn Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jaclyn Park's NPI active?
- Yes — Jaclyn Park's NPI (1851783708) is active in the NPPES registry as of the last update on 2025-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.