Active NPI
Jamie Kennedy
- Family Nurse Practitioner
- Springfield, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.021877
- Practice address
- 1343 N Fountain Blvd Ste 250
Springfield, OH 45504-1479 - Phone
- (937) 523-9050
- NPI assigned
- Oct 30, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.021877 | OH | Primary |
Addresses
Primary practice location
1343 N Fountain Blvd Ste 250
Springfield, OH 45504-1479
Mailing address
6545 State Route 201
Tipp City, OH 45371-8799
Phone (937) 663-0138
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
160 S Tuttle Rd
Springfield, OH 45505-1553
Phone (937) 523-9690
Hospital & facility affiliations
- Springfield Regional Medical Center
- Mercy Health - West Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Springfield Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians Springfield Primary Care LLC | Current | Accepting new patients | |
| Community Mercy Health Partners | Past | Accepting new patients |
Locations
160 S Tuttle Rd
Springfield, OH 45505
Phone (937) 523-9690
211 Northparke Dr
Springfield, OH 45503
Phone (937) 390-1700
1343 N Fountain Blvd
Ste 250
Springfield, OH 45504
Phone (937) 328-8700
30 W McCreight Ave
Ste 110
Springfield, OH 45504
Phone (937) 399-2142
900 Scioto St
Ste 4
Urbana, OH 43078
Phone (937) 653-4666
900 Scioto St
Ste 1
Urbana, OH 43078
Phone (937) 653-4666
Interoperability endpoints
- jkennedy49273@direct.bsmhealth.org
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Urbana, OH
- NPI 1427679067
-
- Surgery Physician
- Springfield, OH
- NPI 1790308104
-
- Rural Health Clinic/Center
- Urbana, OH
- NPI 1063066066
-
- General Acute Care Hospital
- Springfield, OH
- NPI 1144286402
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, OH
- NPI 1144286402
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1912007931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513296000000",
"number": "1124530126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6545 STATE ROUTE 201",
"city": "TIPP CITY",
"state": "OH",
"postal_code": "453718799",
"telephone_number": "937-663-0138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1343 N FOUNTAIN BLVD STE 250",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455041479",
"telephone_number": "937-523-9050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "JAMIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-30",
"last_updated": "2017-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.021877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.