Individual provider Active NPI

Jenna J Branam, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sidney, OH
National Provider Identifier
1083229751
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0028292 Issued in OH
Practice address
1101 N Vandemark Rd
Sidney, OH 45365-3567
Phone
(937) 622-7393
Fax
(937) 667-5002
NPI assigned
Sep 10, 2020
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.422570 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0028292 OH Primary

Addresses

Primary practice location

1101 N Vandemark Rd
Sidney, OH 45365-3567

Mailing address

1101 N Vandemark Rd
Sidney, OH 45365-3567
Phone (937) 622-7393

Other practice location 1

446 Morgan St
Cincinnati, OH 45206-2348
Phone (833) 510-4357

Other practice location 2

3095 Kettering Blvd
Moraine, OH 45439-1983
Phone (937) 293-8300

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
I20210414000162 OH Practitioner - Nurse Practitioner 2466860366 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Darke County Recovery ServicesGroup PAC ID 7315176005, 18 clinicians
South Community Inc.Group PAC ID 7315971066, 20 clinicians

Practice addresses (Care Compare)

1101 N Vandemark Rd
Sidney, OH 45365-3567
Phone (937) 548-6842

3095 Kettering Blvd
Moraine, OH 45439-1983
Phone (937) 293-8300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.422570OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Behavioral Health, Inc. Current Accepting new patients
Samaritan Behavioral Health, Inc. CurrentSince Apr 1, 2021 Accepting new patients
South Community Inc. CurrentSince Apr 2, 2021 Accepting new patients
Darke County Recovery Services CurrentSince Oct 11, 2024 Accepting new patients
Samaritan Behavioral Health, Inc. CurrentSince Apr 1, 2021 Accepting new patients
South Community Inc CurrentSince Apr 2, 2021 Accepting new patients

Locations

601 S Edwin C Moses Blvd
Dayton, OH 45417
Phone (937) 734-4310

601 S Edwin C Moses Blvd
Fl 4
Dayton, OH 45417
Phone (937) 734-8333

212 E Main St
Greenville, OH 45331
Phone (937) 548-6842

600 Walnut St
Greenville, OH 45331
Phone (937) 335-0361

3095 Kettering Blvd
Moraine, OH 45439

1101 N Vandemark Rd
Sidney, OH 45365
Phone (937) 492-8080

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/recoveryandwellnessohio/r4/
  • FHIR API: https://api.qualifacts.org/api/fhir/sbhihelp/r4/

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": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1083229751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N VANDEMARK RD",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453653567",
            "telephone_number": "937-622-7393",
            "fax_number": "937-667-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N VANDEMARK RD",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453653567",
            "telephone_number": "937-622-7393",
            "fax_number": "937-667-5002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "446 Morgan St",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452062348",
            "country_code": "US",
            "telephone_number": "833-510-4357",
            "fax_number": "866-460-2997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3095 Kettering Blvd",
            "address_purpose": "LOCATION",
            "city": "Moraine",
            "state": "OH",
            "postal_code": "454391983",
            "country_code": "US",
            "telephone_number": "937-293-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANAM",
        "first_name": "JENNA",
        "middle_name": "J",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.422570",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0028292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sidney, OH

Sources for this page

Verify at the official NPI Registry.