Individual provider Active NPI

Jacqlyn Riemersma

  • Obstetrics & Gynecology Physician
  • Cincinnati, OH
National Provider Identifier
1073140653
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35151578 Issued in OH
Practice address
7545 Beechmont Ave Ste B
Cincinnati, OH 45255-4238
Phone
(513) 564-1600
Fax
(513) 564-4001
NPI assigned
Mar 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 35151578 OH Primary

Addresses

Primary practice location

7545 Beechmont Ave Ste B
Cincinnati, OH 45255-4238

Mailing address

2139 Auburn Ave
Cincinnati, OH 45219-2906

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241021004176 OH Practitioner - Obstetrics/Gynecology 6800215187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Cincinnati College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christ Hospital Medical Specialists LLCGroup PAC ID 6507998432, 127 clinicians

Practice addresses (Care Compare)

5885 Harrison Ave
Suite 3100
Cincinnati, OH 45248-1735
Phone (513) 922-6666

Hospital & facility affiliations

  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163

Merit-based Incentive Payment System (MIPS)

Final score
90.21 of 100Reported as group
Quality
88
Promoting interoperability
100
Improvement activities
40
Cost
79.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35151578OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Hospital Medical Specialists LLC Obstetrics & Gynecology CurrentSince Nov 1, 2024 Accepting new patients
Christ Hospital Past Accepting new patients

Locations

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

2123 Auburn Ave
Ste 624
Cincinnati, OH 45219
Phone (513) 564-1600

7545 Beechmont Ave
Ste B
Cincinnati, OH 45255
Phone (513) 564-1600

5885 Harrison Ave
Ste 3100
Cincinnati, OH 45248
Phone (513) 564-1600

2123 Auburn Ave
Ste 122
Cincinnati, OH 45219
Phone (513) 381-1400

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 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": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1073140653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 AUBURN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7545 BEECHMONT AVE STE B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452554238",
            "telephone_number": "513-564-1600",
            "fax_number": "513-564-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEMERSMA",
        "first_name": "JACQLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35151578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.