Individual provider Active NPI

Jill Elwood, CNP

  • Family Nurse Practitioner
  • Lima, OH
National Provider Identifier
1104224542
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.18792-NP Issued in OH
Practice address
801 Medical Dr Ste a
Lima, OH 45804-4030
Phone
(419) 222-6622
Fax
(419) 224-0015
NPI assigned
Dec 17, 2014
Last updated
Feb 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.18792-NP OH Primary
Registered Nurse 163W00000X 264515 OH

Addresses

Primary practice location

801 Medical Dr Ste a
Lima, OH 45804-4030

Mailing address

801 Medical Dr Ste a
Lima, OH 45804-4030
Phone (419) 222-6622

Other identifiers 1

IdentifierTypeStateIssuer
0161156MedicaidOH

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
I20160413001180 OH Practitioner - Nurse Practitioner 9133427826 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

801 Medical Dr
Suite a
Lima, OH 45804-4030
Phone (419) 222-6622

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
264515OHMDRegistered Nurse
COA.18792-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Institute of Ohio, Inc. CurrentSince Apr 28, 2018 Accepting new patients
Mercy Medical Partners Northern Region Specialty Care LLC CurrentSince Mar 1, 2023 Accepting new patients
Mercy Health Physicians Lima Specialty Care LLC Nurse Practitioner CurrentSince Sep 1, 2020 Accepting new patients
Mercy Medical Partners Northern Region Specialty Care LLC Nurse Practitioner CurrentSince Mar 1, 2023 Accepting new patients
Orthopaedic Institute of Ohio, Inc CurrentSince Apr 28, 2018 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1400 E 2nd St
Defiance, OH 43512
Phone (419) 784-1414

1800 E 5th St
Delphos, OH 45833
Phone (419) 692-2662

1501 Bright Rd
Findlay, OH 45840
Phone (419) 424-0131

2195 Allentown Rd
Lima, OH 45805
Phone (419) 227-2245

582 N Cable Rd
Lima, OH 45805
Phone (419) 996-2500

770 W High St
Ste 160
Lima, OH 45801
Phone (419) 996-5224

770 W High St
Ste 450
Lima, OH 45801
Phone (419) 996-5069

801 Medical Dr
Lima, OH 45804
Phone (419) 227-0205

801 Medical Dr
Ste A
Lima, OH 45804
Phone 41922266223301

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

967 Bellefontaine Ave
Lima, OH 45804
Phone (419) 224-1330

1600 E Riverview Ave
Ste 101
Napoleon, OH 43545
Phone (419) 592-8774

1275 E Greenville Rd
Saint Marys, OH 45885
Phone (419) 300-9790

915 Michigan St
Sidney, OH 45365
Phone (937) 498-2311

915 Michigan St
Bldg B
Sidney, OH 45365
Phone (937) 419-5010

27 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-3486

1180 Professional Dr
Van Wert, OH 45891
Phone (419) 238-9764

Interoperability endpoints

  • Direct secure messaging: jelwood133173@direct.bsmhealth.org
  • Direct secure messaging: jillelwood@glhs.allscriptsdirect.net

Organizations & group practices 7

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": "1418774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1104224542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MEDICAL DR STE A",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458044030",
            "telephone_number": "419-222-6622",
            "fax_number": "192-240-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MEDICAL DR STE A",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458044030",
            "telephone_number": "419-222-6622",
            "fax_number": "419-224-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELWOOD",
        "first_name": "JILL",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-17",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.18792-NP",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "264515",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0161156",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.