Jaclyn Dewalt, PA-C
NPI 1912194291 · Physician Assistant · Apple Valley, MN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jaclyn Dewalt, PA-C is a Physician Assistant provider in Apple Valley, MN (NPI 1912194291).
Provider details
- NPI number
- 1912194291
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 10346 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
399 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 127 | $9 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 106 | $105 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 62 | $105 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 50 | $75 |
| Screening Mammography77067 | 15 | $107 |
| Screening 3d Breast Mammography77063 | 13 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 70 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 289 | 83 |
| Lisinopril | 186 | 55 |
| Metoprolol Succinate | 139 | 38 |
| Amlodipine Besylate | 133 | 40 |
| Rosuvastatin Calcium | 105 | 34 |
| Simvastatin | 100 | 27 |
| Levothyroxine Sodium |
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-10-01
- Last updated
- 2024-10-14
- Certified
- 2024-10-14
Frequently asked questions
- What is Jaclyn Dewalt's NPI number?
- Jaclyn Dewalt's National Provider Identifier (NPI) is 1912194291, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jaclyn Dewalt's specialty?
- Jaclyn Dewalt is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jaclyn Dewalt located?
- Jaclyn Dewalt's practice location on file with NPPES is 15350 English Ave, Apple Valley, MN 55124-6252.
- What is Jaclyn Dewalt's phone number?
- The practice phone number listed in the NPPES registry for Jaclyn Dewalt is (952) 431-8500.
- Does Jaclyn Dewalt accept Medicare?
- Jaclyn Dewalt is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jaclyn Dewalt's NPI active?
- Yes — Jaclyn Dewalt's NPI (1912194291) is active in the NPPES registry as of the last update on 2024-10-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.