Jaclyn Losty, - Nurse Practitioner in Shelby Twp, MI

Jaclyn Losty, is a Nurse Practitioner - Pediatrics based in Shelby Twp, Michigan. Jaclyn Losty is licensed to practice in Michigan (license number 4704285720) and her current practice location is 15125 22 Mile Rd, Shelby Twp, Michigan. She can be reached at her office (for appointments etc.) via phone at (586) 532-0599.

NPI number for Jaclyn Losty is 1669993168 and her current mailing address is 2922 Birchena Cres, West Bloomfield, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669993168.

Contact Information

Jaclyn Losty,
15125 22 Mile Rd,
Shelby Twp, MI 48315-4406
(586) 532-0599
Not Available

Map and Direction




Provider's Profile

Full NameJaclyn Losty
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location15125 22 Mile Rd, Shelby Twp, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1669993168
  • Provider Enumeration Date: 07/05/2017
  • Last Update Date: 01/26/2022

Medical Identifiers

Medical identifiers for Jaclyn Losty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669993168NPI-NPPES
1669993168OtherMIPRESCRIBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 4704285720 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jaclyn Losty is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jaclyn Losty,
2922 Birchena Cres,
West Bloomfield, MI 48324-2104

Ph: () -
Jaclyn Losty,
15125 22 Mile Rd,
Shelby Twp, MI 48315-4406

Ph: (586) 532-0599

Reviews and Comments


Nurse Practitioner Nurses in Shelby Twp, MI

Tanya Lynn Ropes, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 15055 22 Mile Rd Ste 3, Shelby Twp, MI 48315
Phone: 586-566-7100    Fax: 586-566-8088
Caroline Sydney Baker,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2115 25 Mile Rd, Shelby Twp, MI 48316
Phone: 866-389-2727    
Mrs. Nicole Lynn Stapp, WHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 8180 26 Mile Rd Ste 300, Shelby Twp, MI 48316
Phone: 586-992-8300    Fax: 586-992-9331
Danielle Nicole Dababneh, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 13938 Glenwood Dr, Shelby Twp, MI 48315
Phone: 586-484-3136    
Wendy Lynn Easton, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 46960 Van Dyke Ave, Shelby Twp, MI 48317
Phone: 586-726-9220    
Tamara Duff, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 54545 Mound Rd, Shelby Twp, MI 48316
Phone: 586-943-7293    
Catherine Polito, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 46960 Van Dyke Ave, Shelby Twp, MI 48317
Phone: 586-726-9220    

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