Individual provider Active NPI

Jessica Fournier

  • Nurse Practitioner
  • Westerville, OH
National Provider Identifier
1033857727
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0031630 Issued in OH
Practice address
115 Commerce Park Dr
Westerville, OH 43082-6054
Phone
(614) 360-2600
NPI assigned
May 24, 2022
Last updated
Apr 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0031630 OH Primary

Addresses

Primary practice location

115 Commerce Park Dr
Westerville, OH 43082-6054

Mailing address

115 Commerce Park Dr
Westerville, OH 43082-6054
Phone (614) 360-2600

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
I20220720000004 OH Practitioner - Nurse Practitioner 9830570043 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Ohio State University College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Columbus Behavioral Health, LLCGroup PAC ID 4385081249, 16 clinicians

Practice addresses (Care Compare)

124 County Line Rd W
Suite B
Westerville, OH 43082-7233
Phone (614) 360-2600

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Behavioral Health, LLC CurrentSince May 28, 2024 Accepting new patients
Lifesource of North Carolina Nurse Practitioner CurrentSince Jul 1, 2022 Accepting new patients
Lifesource of North Carolina Nurse Practitioner CurrentSince Jul 1, 2022 Accepting new patients

Locations

410 W Elm St
Bluffton, OH 45817
Phone (419) 358-1015

6265 Riverside Dr
Ste 1S
Dublin, OH 43017
Phone (614) 360-2600

1525 Eber Rd
Holland, OH 43528
Phone (419) 866-6500

115 Commerce Park Dr
Westerville, OH 43082
Phone (614) 360-2600

115 Commerce Park Dr
Ste B
Westerville, OH 43082
Phone (614) 360-2600

124 County Line Rd W
Ste B
Westerville, OH 43082
Phone (614) 360-2600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1033857727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 COMMERCE PARK DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430826054",
            "telephone_number": "614-360-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 COMMERCE PARK DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430826054",
            "telephone_number": "614-360-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOURNIER",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-24",
        "last_updated": "2024-04-22",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0031630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.