Active NPI
Jessica Lynne Quesenberry, APRN
- Family Nurse Practitioner
- Springfield, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.024882
- Practice address
- 2355 Derr Rd
Springfield, OH 45503-2439 - Phone
- (937) 629-0100
- NPI assigned
- Aug 12, 2012
- Last updated
- Aug 6, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 353847 | OH | |
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.024882 | OH | Primary |
Addresses
Primary practice location
2355 Derr Rd
Springfield, OH 45503-2439
Mailing address
2355 Derr Rd Ste a
Springfield, OH 45503-2439
Phone (937) 629-0100
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Wright State University Boonshoft School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1520 S Main St
Suite 2
Dayton, OH 45409-2643
Phone (937) 461-5815
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 353847 | OH | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulmonary & Critical Care Consultants, Inc | Current | Accepting new patients | |
| Gcga Physicians Inc. | Past | Accepting new patients |
Locations
1520 S Main St
Ste 2
Dayton, OH 45409
Phone (937) 461-5815
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ICEACA/Endpoint/ICEACA
- jessica.quesenberry@pulmcare.eclinicaldirectplus.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pulmonary Disease Physician
- Dayton, OH
- NPI 1861432379
-
dba Ohio GI & Liver Institute
- Gastroenterology Physician
- Cincinnati, OH
- NPI 1790851095
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
-
- General Acute Care Hospital
- Troy, OH
- NPI 1184638942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565049600000",
"number": "1063769826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2355 DERR RD STE A",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455032439",
"telephone_number": "937-629-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2355 DERR RD",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455032439",
"telephone_number": "937-629-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUESENBERRY",
"first_name": "JESSICA",
"middle_name": "LYNNE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-12",
"last_updated": "2019-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "353847",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.024882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.