Individual provider Active NPI

Jenny E Swisher, CNP

  • Family Nurse Practitioner
  • Ontario, OH
National Provider Identifier
1023627841
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0026996 Issued in OH
Practice address
2153 Stumbo Rd
Ontario, OH 44906-1265
Phone
(419) 775-5457
NPI assigned
Jul 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0026996 OH Primary

Addresses

Primary practice location

2153 Stumbo Rd
Ontario, OH 44906-1265

Mailing address

62 Renfrew Dr
Shelby, OH 44875-1822
Phone (419) 989-3180

Other practice location 1

3313 Seajay Dr
Beavercreek, OH 45430-1365
Phone (937) 516-3015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200914002214 OH Practitioner - Nurse Practitioner 1759709330 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Incare Health Solutions, LLC Family CurrentSince Jul 30, 2020 Accepting new patients
Incare Health Solutions LLC CurrentSince Jul 30, 2020 Accepting new patients
Horizon Infusions, LLC Past Accepting new patients

Locations

1341 S Trimble Rd
Mansfield, OH 44907
Phone (419) 775-7807

211 Edgefield Blvd
Marion, OH 43302

375 N Lexington Springmill Rd
Ontario, OH 44906
Phone (419) 528-0047

7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1023627841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 RENFREW DR",
            "city": "SHELBY",
            "state": "OH",
            "postal_code": "448751822",
            "telephone_number": "419-989-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2153 STUMBO RD",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449061265",
            "telephone_number": "419-775-5457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3313 Seajay Dr",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454301365",
            "country_code": "US",
            "telephone_number": "937-516-3015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWISHER",
        "first_name": "JENNY",
        "middle_name": "E",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0026996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, OH

Sources for this page

Verify at the official NPI Registry.