NPIMap

Individual provider Active NPI

Jessica R Lause, NP

  • Nurse Practitioner
  • Milan, OH
National Provider Identifier
1114591344
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0027814 Issued in OH
Practice address
15120 S Main St
Milan, OH 44846-9761
Phone
(419) 357-6130
NPI assigned
May 12, 2021
Last updated
May 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0027814 OH Primary

Addresses

Primary practice location

15120 S Main St
Milan, OH 44846-9761

Mailing address

15120 S Main St
Milan, OH 44846-9761
Phone (419) 357-6130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210818001808 OH Practitioner - Nurse Practitioner 1254736945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2800 Hayes Ave
BLDG F
Sandusky, OH 44870-7256
Phone (419) 626-1331

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
59.13
Promoting interoperability
99
Improvement activities
40
Cost
75.81

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Ohio Medical Specialists LLC CurrentSince Sep 1, 2021 Accepting new patients
Vitality Health & Wellness Clinic LLC Nurse Practitioner CurrentSince Jul 2, 2025 Accepting new patients
Northern Ohio Medical Specialists, LLC CurrentSince Sep 1, 2021 Accepting new patients
Northern Ohio Medical Specialists, LLC Past Accepting new patients

Locations

39 E Main St
Norwalk, OH 44857
Phone (419) 677-0702

1326 E Perkins Ave
Sandusky, OH 44870
Phone (419) 625-0654

2800 Hayes Ave
Bldg F
Sandusky, OH 44870
Phone (419) 626-1331

3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841

Interoperability endpoints

  • Direct secure messaging: jlause20429@nomshealthcare.direct-ci.com

Organizations & group practices 4

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 6

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": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1114591344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15120 S MAIN ST",
            "city": "MILAN",
            "state": "OH",
            "postal_code": "448469761",
            "telephone_number": "419-357-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15120 S MAIN ST",
            "city": "MILAN",
            "state": "OH",
            "postal_code": "448469761",
            "telephone_number": "419-357-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUSE",
        "first_name": "JESSICA",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0027814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milan, OH

Sources for this page

Verify at the official NPI Registry.