Individual provider Active NPI

Jennifer Dehner, FNP-C

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1053969717
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
025102 Issued in OH
Practice address
5505 Harrison Ave
Cincinnati, OH 45248-2311
Phone
(513) 832-0980
NPI assigned
Aug 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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 025102 OH Primary

Addresses

Primary practice location

5505 Harrison Ave
Cincinnati, OH 45248-2311

Mailing address

162 Barnwood Dr
Edgewood, KY 41017-2501
Phone (513) 832-0980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191017000456 OH Practitioner - Nurse Practitioner 9830420165 Reassigns benefits to 2 organizations
I20191227001937 KY Practitioner - Nurse Practitioner 9830420165 Reassigns benefits to 2 organizations

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
Pain Specialists of Cincinnati LLCGroup PAC ID 3870809023, 6 clinicians
Regenlife CenterGroup PAC ID 4385179142, 10 clinicians

Practice addresses (Care Compare)

162 Barnwood Dr
Edgewood, KY 41017-2501
Phone (859) 331-4159

3328 Westbourne Dr
Cincinnati, OH 45248-5133
Phone (513) 922-2204

Hospital & facility affiliations

  • Good Samaritan Hospital Hospital, Cincinnati, OH, CCN 360134
  • St Elizabeth Edgewood Hospital, Edgewood, KY, CCN 180035

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
025102OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regenlife Center CurrentSince Dec 13, 2024 Accepting new patients
Pain Specialists of Cincinnati, LLC CurrentSince May 8, 2023 Accepting new patients

Locations

162 Barnwood Dr
Edgewood, KY 41017
Phone (859) 331-4159

7683 Mall Rd
Unit B
Florence, KY 41042
Phone (859) 817-1320

3328 Westbourne Dr
Cincinnati, OH 45248
Phone (513) 922-1599

9989 Montgomery Rd
Montgomery, OH 45242

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.

Hospital & facility affiliations 6

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": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1053969717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 BARNWOOD DR",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410172501",
            "telephone_number": "513-832-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 HARRISON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452482311",
            "telephone_number": "513-832-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHNER",
        "first_name": "JENNIFER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "025102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.