Individual provider Active NPI

Jessica R Wozniak, APRN-CNP

  • Acute Care Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1033684014
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN.CNP.023511 Issued in OH
Practice address
3110 W Central Ave Ste a
Toledo, OH 43606-2956
Phone
(419) 473-6633
Fax
(419) 539-6306
NPI assigned
Oct 5, 2018
Last updated
Nov 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 4704372033 MI
Acute Care Nurse Practitioner 363LA2100X APRN.CNP.023511 OH Primary
Registered Nurse 163W00000X 4704372033 MI
Emergency Registered Nurse 163WE0003X RN.372039 OH

Addresses

Primary practice location

3110 W Central Ave Ste a
Toledo, OH 43606-2956

Mailing address

333 N Summit St FL 7
Toledo, OH 43604-1531
Phone (419) 473-6633

Other practice location 1

122 Wyoming St
Dayton, OH 45409-2731
Phone (937) 438-8640

Other practice location 2

3130 N County Road 25A Ste 214
Troy, OH 45373-1337
Phone (937) 438-8600

Other practice location 3

2300 Miami Valley Dr Ste 350
Centerville, OH 45459-1294
Phone (937) 438-8600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jwozniak215941@epicdirect.promedica.org

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
I20181102001344 OH Practitioner - Nurse Practitioner 5395098651 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians

Practice addresses (Care Compare)

2751 Bay Park Dr
Suite 201
Oregon, OH 43616-4922
Phone (419) 690-8832

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.372039OHMDEmergency Registered Nurse
4704372033MIMDAcute Care Nurse Practitioner
APRN.CNP.023511OHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Mar 1, 2021 Accepting new patients
Premier Health Specialists Inc Current Accepting new patients
Premier Health Specialists Inc CurrentSince Oct 29, 2018 Accepting new patients
Promedica Central Physicians CurrentSince Mar 1, 2021 Accepting new patients
Premier Health Specialists Inc CurrentSince Oct 29, 2018 Accepting new patients

Locations

122 Wyoming St
Dayton, OH 45409
Phone (937) 438-8640

2300 Miami Valley Dr
Ste 350
Dayton, OH 45459
Phone (937) 424-2469

3170 Kettering Blvd
Bldg B3
Moraine, OH 45439
Phone (937) 991-3188

3170 Kettering Blvd
Fl 3
Moraine, OH 45439

2751 Bay Park Dr
Ste 201
Oregon, OH 43616
Phone (419) 690-8811

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

3110 W Central Ave
Ste A
Toledo, OH 43606
Phone (419) 309-3991

333 N Summit St
Fl 7
Toledo, OH 43604
Phone (419) 252-5909

3130 N County Road 25A
Ste 214
Troy, OH 45373
Phone (937) 332-8777

Interoperability endpoints

  • Direct secure messaging: jwozniak215941@direct.promedica.org
  • Direct secure messaging: jwozniak215941@epicdirect.promedica.org

Organizations & group practices 5

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1033684014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST FL 7",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041531",
            "telephone_number": "419-473-6633",
            "fax_number": "419-539-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 W CENTRAL AVE STE A",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436062956",
            "telephone_number": "419-473-6633",
            "fax_number": "419-539-6306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 Wyoming St",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454092731",
            "country_code": "US",
            "telephone_number": "937-438-8640",
            "fax_number": "937-438-8615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3130 N County Road 25A Ste 214",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "OH",
            "postal_code": "453731337",
            "country_code": "US",
            "telephone_number": "937-438-8600",
            "fax_number": "937-438-8615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 Miami Valley Dr Ste 350",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454591294",
            "country_code": "US",
            "telephone_number": "937-438-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOZNIAK",
        "first_name": "JESSICA",
        "middle_name": "R",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-05",
        "last_updated": "2023-11-03",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704372033",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "APRN.CNP.023511",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704372033",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "OH",
            "license": "RN.372039",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwozniak215941@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.