Individual provider Active NPI

Jenna Lee Dorman, APRN-CNP

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1063132041
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0032386 Issued in OH
Practice address
2121 Kenny Rd
Columbus, OH 43210-3100
Phone
(614) 293-8415
Fax
(614) 293-4044
NPI assigned
Aug 31, 2022
Last updated
Jan 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0032386 OH Primary
Family Nurse Practitioner 363LF0000X 444201 OH

Addresses

Primary practice location

2121 Kenny Rd
Columbus, OH 43210-3100

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-8415

Other practice location 1

4605 Duke Dr
Mason, OH 45040-9410
Phone (614) 441-9300

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL krogertlc Direct

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
I20221012001942 OH Practitioner - Nurse Practitioner 3476929746 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osu Radiation Oncology LLCGroup PAC ID 8123076023, 47 clinicians

Practice addresses (Care Compare)

2121 Kenny Rd
Suite 1B
Columbus, OH 43210-3100
Phone (614) 293-8415

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.5 of 100Reported as apm
Quality
71.52
Promoting interoperability
95.57
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
444201OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osu Radiation Oncology LLC CurrentSince Jan 1, 2026 Accepting new patients
Ohiohealth Corporation CurrentSince Feb 6, 2024 Accepting new patients
Ohiohealth Corporation CurrentSince Feb 6, 2024 Accepting new patients
Marion Area Physicians LLC CurrentSince Apr 1, 2023 Accepting new patients
The Little Clinic of Ohio LLC Family CurrentSince Sep 23, 2022 Accepting new patients
Arthur G James Cancer Hospital and Research Institute PastSince Jan 1, 2026 Accepting new patients

Locations

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

2121 Kenny Rd
Columbus, OH 43210
Phone (614) 293-7399

2121 Kenny Rd
Ste 1B
Columbus, OH 43210

300 W 10th Ave
Columbus, OH 43210
Phone (614) 293-3276

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

700 Ackerman Rd
Ste 2120
Columbus, OH 43202

Dept L3652
Columbus, OH 43260

801 Ohio Health Blvd
Ste 180
Delaware, OH 43015
Phone (740) 615-0227

1000 McKinley Park Dr
Marion, OH 43302
Phone (740) 383-8400

1040 Delaware Ave
Marion, OH 43302
Phone (330) 256-9874

7345 State Route 3
Westerville, OH 43082
Phone (614) 794-5550

Interoperability endpoints

  • Direct secure messaging: jenna.dorman@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 6

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 1

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": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1063132041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-293-8415",
            "fax_number": "614-293-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 KENNY RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432103100",
            "telephone_number": "614-293-8415",
            "fax_number": "614-293-4044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4605 Duke Dr",
            "address_purpose": "LOCATION",
            "city": "Mason",
            "state": "OH",
            "postal_code": "450409410",
            "country_code": "US",
            "telephone_number": "614-441-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORMAN",
        "first_name": "JENNA",
        "middle_name": "LEE",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0032386",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "444201",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "krogertlc",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4111 Executive Pkwy",
            "city": "Westerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430813869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.