Individual provider Active NPI

William A Jansak, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1124653514
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN.223658 Issued in OH
Practice address
The Richard M. Ross Heart Hospital, 4TH Floor
452 West 10TH Ave
Columbus, OH 43210
Phone
(614) 293-9450
Fax
(614) 293-9451
NPI assigned
Mar 6, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN.223658 OH Primary

Addresses

Primary practice location

The Richard M. Ross Heart Hospital, 4TH Floor
452 West 10TH Ave
Columbus, OH 43210

Mailing address

The Richard M. Ross Heart Hospital, 4TH Floor
452 West 10TH Ave
Columbus, OH 43210
Phone (614) 293-9450

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
I20200629000460 OH Practitioner - Nurse Practitioner 4284056854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Horizons Mental Health Services IncGroup PAC ID 5597799262, 15 clinicians

Practice addresses (Care Compare)

2652 Kull Rd
Lancaster, OH 43130-7707
Phone (740) 687-0835

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.223658OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizons Mental Health Services, Inc. CurrentSince Aug 2, 2022 Accepting new patients
New Horizons Mental Health Services, Inc. Past Accepting new patients

Locations

2652 Kull Rd
Lancaster, OH 43130
Phone (740) 277-6733

2680 Kull Rd
Lancaster, OH 43130
Phone (740) 277-6166

2660 Kull Rd
Lancaster, OH 43130
Phone (740) 277-6166

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.

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": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1124653514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "THE RICHARD M. ROSS HEART HOSPITAL, 4TH FLOOR",
            "address_2": "452 WEST 10TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43210",
            "telephone_number": "614-293-9450",
            "fax_number": "614-293-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE RICHARD M. ROSS HEART HOSPITAL, 4TH FLOOR",
            "address_2": "452 WEST 10TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43210",
            "telephone_number": "614-293-9450",
            "fax_number": "614-293-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSAK",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-06",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "RN.223658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.