Individual provider Active NPI

Jennifer Anne Jones, FNP

  • Family Nurse Practitioner
  • Lebanon, OH
National Provider Identifier
1104345024
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
022602 Issued in OH
Practice address
975 Kingsview Dr
Lebanon, OH 45036-9562
Phone
(513) 228-7800
NPI assigned
Sep 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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 022602 OH Primary

Addresses

Primary practice location

975 Kingsview Dr
Lebanon, OH 45036-9562

Mailing address

975 Kingsview Dr
Lebanon, OH 45036-9562
Phone (513) 228-7800

Other practice location 1

53 Donnermeyer Dr
Bellevue, KY 41073-1352
Phone (859) 491-4210

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
I20180605001772 OH Practitioner - Nurse Practitioner 0547535254 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Lifeway Counseling Centers IncGroup PAC ID 8729036033, 12 clinicians

Practice addresses (Care Compare)

11161 Kenwood Rd
Blue Ash, OH 45242-1817
Phone (513) 769-4600

1501 Madison Rd
Walnut Hills, OH 45206-1706
Phone (513) 354-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
022602OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeway Counseling Centers, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Community Mental Health Centers of Warren County, Inc CurrentSince Nov 12, 2019 Accepting new patients
Greater Cincinnati Behavioral Health Services Current Accepting new patients
Greater Cincinnati Behavioral Health Services CurrentSince Jan 31, 2025 Accepting new patients
Greater Cincinnati Behavioral Health Services CurrentSince Jan 31, 2025 Accepting new patients

Locations

11161 Kenwood Rd
Blue Ash, OH 45242
Phone (513) 769-4600

107 Oregonia Rd
Fl 2
Lebanon, OH 45036
Phone (513) 695-2411

975 Kingsview Dr
Lebanon, OH 45036
Phone (513) 228-7846

50 Greenwood Ln
Springboro, OH 45066
Phone (937) 746-1154

1501 Madison Rd
Walnut Hills, OH 45206
Phone (513) 354-7000

Organizations & group practices 5

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": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1104345024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 KINGSVIEW DR",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450369562",
            "telephone_number": "513-228-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 KINGSVIEW DR",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450369562",
            "telephone_number": "513-228-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "53 Donnermeyer Dr",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "KY",
            "postal_code": "410731352",
            "country_code": "US",
            "telephone_number": "859-491-4210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "022602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, OH

Sources for this page

Verify at the official NPI Registry.