Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Jacquelynn Mary Shank

Physician Assistant โ€ข Independence, OH

Active NPI 1235522244 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

5001 Rockside Rd
Independence, OH 44131

Call 2169864000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5001 Rockside Rd

Independence, OH 44131

Telephone 2169864000
Organization at the Same NPPES Address or Phone
Cleveland Clinic Foundation Facility NPI 1326144890

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Alliance, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Cleveland Clinic. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2014

Medicare patients

176 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $18,600 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $11,757 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

9,701 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$288,986 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $18.82 in 2023

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2023.

Guide: How to read an Open Payments record

Years since graduation

12 years (graduated 2014)

CMS Doctors and Clinicians data list 2014 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jacquelynn Shank has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jacquelynn Shank as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Independence and Ohio

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 75% of clinicians listed under Physician Assistant in Ohio (2024, 2,811 clinicians with data). Median for this group: 169. Middle half: 67 to 400.

Too few clinicians listed under Physician Assistant in Independence have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 60% of clinicians listed under Physician Assistant in Ohio (2024, 2,811 clinicians with data). Median for this group: $13,051. Middle half: $5,335 to $26,160.

Too few clinicians listed under Physician Assistant in Independence have Medicare Part B data for 2024 to compare.

Paid by Medicare

Close to the middle for clinicians listed under Physician Assistant in Ohio (2024, 2,811 clinicians with data). Median for this group: $9,581. Middle half: $3,849 to $19,099.

Too few clinicians listed under Physician Assistant in Independence have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 95% of clinicians listed under Physician Assistant in Ohio (2024, 2,821 clinicians with data). Median for this group: 212. Middle half: 71 to 708.

Too few clinicians listed under Physician Assistant in Independence have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 90% of clinicians listed under Physician Assistant in Ohio (2024, 2,821 clinicians with data). Median for this group: $2,158. Middle half: $495 to $43,005.

Too few clinicians listed under Physician Assistant in Independence have Medicare Part D data for 2024 to compare.

11 active clinicians are listed under Physician Assistant with a practice address in Independence, OH (5,329 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Independence

36.4% of these 11 clinicians have the CMS telehealth indicator.

63.6% of these 11 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2023
Disclosure Year:

Program year 2023 (payments made January 1 โ€“ December 31, 2023): fewer than 11 records totaling $18.82.

Manufacturer Payment Nature Product Type Amount ($)
ABBVIE INC.
Food and Beverage
In-kind items and services
VRAYLAR General $18.82

Source: CMS Open Payments, program year 2023, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
187 122 $624.00 $67.77
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
144 98 $140.00 $13.31
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
59 53 $423.00 $56.02
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
14 14 $624.00 $43.13
G0444 Annual depression screening, 5 to 15 minutes
14 14 $77.00 $7.26

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 375 31,921 $3,366.93 154
Amlodipine Besylate Amlodipine Besylate 234 20,090 $1,238.41 90
Lisinopril Lisinopril 233 18,940 $1,416.47 94
Levothyroxine Sodium Levothyroxine Sodium 165 13,627 $1,848.12 63
Losartan Potassium Losartan Potassium 146 12,139 $1,236.07 58
Omeprazole Omeprazole 142 10,843 $2,079.28 67
Metformin Hcl Metformin Hcl 112 10,160 $628.32 45
Metoprolol Succinate Metoprolol Succinate 105 9,460 $1,311.66 43
Hydrochlorothiazide Hydrochlorothiazide 101 9,031 $372.44 45
Eliquis Apixaban 91 4,490 $85,099.92 24
Pantoprazole Sodium Pantoprazole Sodium 84 6,667 $1,153.01 35
Metoprolol Tartrate Metoprolol Tartrate 82 6,571 $503.88 28
Rosuvastatin Calcium Rosuvastatin Calcium 70 5,750 $1,085.07 26
Simvastatin Simvastatin 66 5,939 $383.53 25
Allopurinol Allopurinol 62 5,160 $470.26 26
Losartan-Hydrochlorothiazide Losartan/Hydrochlorothiazide 58 5,106 $841.89 21
Albuterol Sulfate Hfa Albuterol Sulfate 55 2,038 $1,514.17 28
Lisinopril-Hydrochlorothiazide Lisinopril/Hydrochlorothiazide 54 4,453 $485.75 22
Tamsulosin Hcl Tamsulosin Hcl 51 3,967 $504.89 19
Furosemide Furosemide 50 3,382 $219.41 24
Sertraline Hcl Sertraline Hcl 49 3,990 $500.78 24
Mounjaro Tirzepatide 47 2,044 $69,611.50 15
Gabapentin Gabapentin 45 2,603 $651.79 20
Duloxetine Hcl Duloxetine Hcl 45 3,690 $1,117.67 18
Metformin Hcl Er Metformin Hcl 44 3,870 $396.58 18

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES OH 50.004322

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20150508001234

Enrollment State Jurisdiction

OH

PECOS Control ID

1355660564

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Cleveland Clinic

8950 Euclid Ave, Cleveland, OH 441950001

Phone: 2164448950

Cleveland Clinic

9500 Euclid Ave, Cleveland, OH 441950001

Cleveland Clinic

2001 E Royalton Rd, Broadview Heights, OH 441472811

Secondary Practice Locations

200 E State St

Alliance, OH 446014936

Phone: 3005966000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

31 listed
NPI 1851616031

Doctor of Medicine (M.D.)

Dr. Ann Awadalla , DO

Internal Medicine

NPI 1992046551

Doctor of Osteopathic Medicine (D.O.)

Dr. Rebecca Bagley , MD

Obstetrics & Gynecology

NPI 1285838482

Doctor of Medicine (M.D.)

NPI 1922410471

Doctor of Medicine (M.D.)

Samantha Berman , PA

Physician Assistant - Medical

NPI 1922670082

Physician Assistant

NPI 1073192233

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
๐Ÿ“
Updated Practice Location June 17, 2019

Registered at 5001 ROCKSIDE RD, INDEPENDENCE, OH 44131 (Tel: 2169864000)

๐Ÿ“
Updated Business Mailing Address June 17, 2019

Registered at 6801 BRECKSVILLE RD, INDEPENDENCE, OH 441315032

โœ…
NPI Profile Active March 16, 2015

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) March 16, 2015

Registered at 200 E STATE ST, ALLIANCE, OH 446014936 (Tel: 3005966000)

๐Ÿ“
Business Mailing Address (Initial Record) March 16, 2015

Registered at 200 E STATE ST, ALLIANCE, OH 446014936

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) March 16, 2015

Recorded as JACQUELYNN SHANK

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2015

Physician Assistant (license number reported to NPPES: OH 50.004322)

๐ŸŸข
Initial NPI Registration & Enumeration March 16, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1235522244
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2015
Last Update: June 17, 2019
Sole Proprietor: No

Other Physician Assistants in Independence

Healthcare providers in Independence

Mailing Address

6801 Brecksville Rd

Independence, OH 441315032

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.