Individual provider Active NPI

Jessica Lynn Porter, APRN

  • Family Nurse Practitioner
  • Springfield, OH
National Provider Identifier
1073326625
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0037225 Issued in OH
Practice address
1117 E Home Rd
Springfield, OH 45503-2725
Phone
(937) 342-1619
NPI assigned
Jan 28, 2025
Last updated
May 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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 APRN.CNP.0037225 OH Primary

Addresses

Primary practice location

1117 E Home Rd
Springfield, OH 45503-2725

Mailing address

PO Box 734439
Chicago, IL 60673-4439
Phone (614) 383-6450

Other practice location 1

1210 Gemini Pl Ste 300
Columbus, OH 43240-6112
Phone (614) 383-6450

Other identifiers 1

IdentifierTypeStateIssuer
0103850MedicaidOH

Other names 1

  • Jessica Lynn Deal Former name

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
I20250217002993 OH Practitioner - Nurse Practitioner 9638699952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1117 E Home Rd
Springfield, OH 45503-2725
Phone (614) 383-6450

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0037225OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ips ASC, LLC Current Accepting new patients
Integrated Pain Solutions Incorporated CurrentSince Jan 30, 2025 Accepting new patients
Integrated Pain Solutions Incorporated CurrentSince Jan 30, 2025 Accepting new patients

Locations

1210 Gemini Pl
Ste 300
Columbus, OH 43240
Phone (614) 220-5648

1117 E Home Rd
Springfield, OH 45503
Phone (937) 342-1619

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHBBCD/Endpoint/HHBBCD

Organizations & group practices 3

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 3

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": "1738022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1073326625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734439",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606734439",
            "telephone_number": "614-383-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 E HOME RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032725",
            "telephone_number": "937-342-1619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1210 Gemini Pl Ste 300",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432406112",
            "country_code": "US",
            "telephone_number": "614-383-6450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-28",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0037225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0103850",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "DEAL",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.