Individual provider Active NPI

Jenna Muirhead, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Chillicothe, OH
National Provider Identifier
1083394134
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0038170 Issued in OH
Practice address
18 E 2ND St
Chillicothe, OH 45601-2523
Phone
(614) 633-6433
NPI assigned
Jul 24, 2023
Reactivated
Feb 3, 2025
Last updated
Feb 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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 RN497199 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0038170 OH Primary

Addresses

Primary practice location

18 E 2ND St
Chillicothe, OH 45601-2523

Mailing address

295 Eastern Ave
Chillicothe, OH 45601-6401

Other practice location 1

4977 Northcutt Pl
Dayton, OH 45414-3839
Phone (937) 387-6395

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
I20250325000323 OH Practitioner - Nurse Practitioner 5496278004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Services for Behavioral HealthGroup PAC ID 9234372525, 39 clinicians

Practice addresses (Care Compare)

20 E 2ND St
Chillicothe, OH 45601-2523
Phone (800) 321-8293

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN497199OHMDRegistered Nurse
0038170OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Services for Behavioral Health CurrentSince Feb 5, 2025 Accepting new patients
Integrated Services for Behavioral Health Past Accepting new patients

Locations

11 Graham Dr
Athens, OH 45701
Phone (740) 594-6807

18 E 2nd St
Chillicothe, OH 45601
Phone (740) 583-1030

20 E 2nd St
Chillicothe, OH 45601
Phone (740) 649-4506

Interoperability endpoints

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

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1083394134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 EASTERN AVE",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456016401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 E 2ND ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012523",
            "telephone_number": "614-633-6433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4977 Northcutt Pl",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454143839",
            "country_code": "US",
            "telephone_number": "937-387-6395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUIRHEAD",
        "first_name": "JENNA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "deactivation_date": "2025-01-29",
        "reactivation_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN497199",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0038170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.