Active NPI
Jennifer Teresa Sprague
- Physician Assistant
- Montgomery, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.005482RX
- Practice address
- 10506 Montgomery Rd Ste 200a
Montgomery, OH 45242-4400 - Phone
- (513) 865-9916
- Fax
- (513) 246-2343
- NPI assigned
- Sep 20, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.005482RX | OH | Primary |
| Physician Assistant | 363A00000X | TC639 | KY |
Addresses
Primary practice location
10506 Montgomery Rd Ste 200a
Montgomery, OH 45242-4400
Mailing address
2300 Chamber Center Dr
Lakeside Park, KY 41017-1686
Phone (859) 301-4723
Other practice location 1
20 Medical Village Dr
Edgewood, KY 41017-5401
Phone (859) 301-4723
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2565399 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 246-2400
10506 A Montgomery Rd
Montgomery, OH 45242-4402
3219 Clifton Ave
Suite 400
Cincinnati, OH 45220-3049
Phone (513) 246-2400
375 Dixmyth Ave
Cincinnati, OH 45220-2475
379 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 246-7000
Hospital & facility affiliations
- Bethesda North
- Good Samaritan Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TC639 | KY | MD | Physician Assistant |
| 50.005482RX | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Elizabeth Medical Center, Inc | Current | Accepting new patients | |
| Trihealth G LLC | Physician Assistant | Current | Accepting new patients |
| Trihealth H LLC | Physician Assistant | Current | Accepting new patients |
| St. Elizabeth Medical Center, Inc. | Physician Assistant | Current | Accepting new patients |
| Trihealth G, LLC | Current | Accepting new patients | |
| Hospice of Cincinnati Incorporated | Past | Accepting new patients | |
| Trihealth Physician Institute | Physician Assistant | Past | Accepting new patients |
Locations
20 Medical Village Dr
Ste 204
Edgewood, KY 41017
Phone (859) 301-5959
20 Medical Village Dr
Edgewood, KY 41017
Phone (859) 344-1600
1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000
375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432
2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200
3219 Clifton Ave
Ste 400A
Cincinnati, OH 45220
Phone (513) 246-2535
375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452
10506 Montgomery Rd
Ste 200A
Montgomery, OH 45242
Phone (513) 246-2343
10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206
Interoperability endpoints
- jsprague247035@direct.trihealth.com
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- Cincinnati, OH
- NPI 1700872728
-
- Physician Assistant
- Erlanger, KY
- NPI 1932187937
-
- Community/Retail Pharmacy
- Cincinnati, OH
- NPI 1184023640
-
- Community/Retail Pharmacy
- Florence, KY
- NPI 1104699453
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Edgewood, KY
- NPI 1588620868
Physician Assistant
-
- Community Based Hospice Care Agency
- Cincinnati, OH
- NPI 1598740011
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1396714663
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1457964041
-
- General Acute Care Hospital
- Montgomery, OH
- NPI 1477166064
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1508835828
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1740893320
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1851904445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781654400000",
"number": "1033628268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 CHAMBER CENTER DR",
"city": "LAKESIDE PARK",
"state": "KY",
"postal_code": "410171686",
"telephone_number": "859-301-4723",
"fax_number": "859-301-4724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10506 MONTGOMERY RD STE 200A",
"city": "MONTGOMERY",
"state": "OH",
"postal_code": "452424400",
"telephone_number": "513-865-9916",
"fax_number": "513-246-2343"
}
],
"practiceLocations": [
{
"address_1": "20 Medical Village Dr",
"address_purpose": "LOCATION",
"city": "Edgewood",
"state": "KY",
"postal_code": "410175401",
"country_code": "US",
"telephone_number": "859-301-4723",
"fax_number": "859-301-4724",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPRAGUE",
"first_name": "JENNIFER",
"middle_name": "TERESA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-20",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.005482RX",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "TC639",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2565399",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.