Active NPI
Ying Jin, NP
- Family Nurse Practitioner
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0029477
- Practice address
- 5700 Karl Rd
Columbus, OH 43229-3602 - Phone
- (614) 846-5420
- Fax
- (614) 438-5873
- NPI assigned
- Dec 16, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0029477 | OH | Primary |
Addresses
Primary practice location
5700 Karl Rd
Columbus, OH 43229-3602
Mailing address
355 Bryn Du Dr
Granville, OH 43023-1512
Phone (786) 493-3950
Other practice location 1
355 Bryn Du Dr
Granville, OH 43023-1512
Phone (786) 493-3950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 145513 | Medicaid | IA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220127002840 | OH | Practitioner - Nurse Practitioner | 2163814906 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0029477 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theoria Medical | Current | Accepting new patients | |
| Complexcare Medical Group Midwest H PLLC | Current | Accepting new patients |
Locations
335 Illinois St
Crystal Lake, IL 60014
Phone (815) 459-7791
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
4550 Hills and Dales Rd NW
Canton, OH 44708
Phone (234) 360-0789
441 Norton Rd
Columbus, OH 43228
Phone (614) 794-8800
5700 Karl Rd
Columbus, OH 43229
Phone (614) 846-5420
717 S 30th St
Newark, OH 43056
Phone (740) 522-1171
7120 Port Sylvania Dr
Toledo, OH 43617
Phone (419) 841-2200
1030 High St
Worthington, OH 43085
Phone (614) 876-7356
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Novi, MI
- NPI 1609362375
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Complexcare Medical Group Midwest H PLLC
Practice addresses (Care Compare)
5700 Karl Rd
Columbus, OH 43229-3602
Phone (614) 846-5420
Hospital & facility affiliations
- Ohio State University State Health System
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696550400000",
"number": "1053959536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 BRYN DU DR",
"city": "GRANVILLE",
"state": "OH",
"postal_code": "430231512",
"telephone_number": "786-493-3950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 KARL RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432293602",
"telephone_number": "614-846-5420",
"fax_number": "614-438-5873"
}
],
"practiceLocations": [
{
"address_1": "355 Bryn Du Dr",
"address_purpose": "LOCATION",
"city": "Granville",
"state": "OH",
"postal_code": "430231512",
"country_code": "US",
"telephone_number": "786-493-3950",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JIN",
"first_name": "YING",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-16",
"last_updated": "2023-10-06",
"certification_date": "2023-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "0029477",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "145513",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.