Individual provider Active NPI

Jennifer Nicole McNeil, FNP

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1154054112
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0031652 Issued in OH
Practice address
265 Brookview Centre Way
Knoxville, TN 37919-4049
Phone
(513) 808-5510
Fax
(513) 880-0521
NPI assigned
Jul 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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 APRN.CNP.0031652 OH Primary
Registered Nurse 163W00000X RN.426534 OH

Addresses

Primary practice location

265 Brookview Centre Way
Knoxville, TN 37919-4049

Mailing address

6730 Roosevelt Ave Ste 303
Middletown, OH 45005-0017
Phone (513) 874-0486

Other practice location 1

6730 Roosevelt Ave Ste 303
Middletown, OH 45005-0017
Phone (513) 874-0486

Other identifiers 1

IdentifierTypeStateIssuer
RN.426534OtherOHOHIO BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220802003746 OH Practitioner - Nurse Practitioner 2163804410 Reassigns benefits to 7 organizations
I20251020001764 KY Practitioner - Nurse Practitioner 2163804410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medicine Inpatient Group LLCGroup PAC ID 3577645340, 39 clinicians
Extended Care Specialists, IncGroup PAC ID 2466407713, 295 clinicians
Eventus Ecs, IncGroup PAC ID 2163969650, 243 clinicians

Practice addresses (Care Compare)

Middletown, OH 45005
Phone (513) 874-0486

3958 Brown Park Dr
Suite D
Hilliard, OH 43026-1160
Phone (260) 483-9081

4400 Easton CMNS
Suite 125
Columbus, OH 43219-6223
Phone (855) 743-2247

6975 Burlington Pike
Florence, KY 41042-1618
Phone (513) 605-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.426534OHMDRegistered Nurse
APRN.CNP.0031652OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medicine Inpatient Group, LLC CurrentSince Jun 1, 2025 Accepting new patients
Extended Care Specialists, Inc Family CurrentSince Aug 1, 2024 Accepting new patients
CS Pacs 3 Midwest LLC CurrentSince Apr 21, 2025 Accepting new patients
NV Pacs 2 LLC CurrentSince Jul 10, 2023 Accepting new patients
Vpa PC Current Accepting new patients
Vpa PC Current Accepting new patients
Eventus Ecs, Inc CurrentSince Dec 12, 2024 Accepting new patients
Ohio Post-Acute Medical Services 1 Inc CurrentSince Jul 10, 2023 Accepting new patients
Vpa PC CurrentSince Jul 6, 2023 Accepting new patients
Vpa PC CurrentSince Jul 6, 2023 Accepting new patients
Inpatient Consultants of Ohio, Inc Past Accepting new patients

Locations

300 Plaza Dr
Cold Spring, KY 41076
Phone (859) 341-2044

6975 Burlington Pike
Florence, KY 41042
Phone (502) 525-6511

355 E Campus View Blvd
Ste 180
Columbus, OH 43235
Phone (614) 523-2155

4400 Easton Cmns
Ste 125
Columbus, OH 43219
Phone (514) 546-1900

425 Lauricella Ct
Englewood, OH 45322
Phone (937) 836-5143

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

3958 Brown Park Dr
Ste D
Hilliard, OH 43026

6730 Roosevelt Ave
Ste 303
Middletown, OH 45005
Phone (513) 618-7430

Organizations & group practices 11

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1154054112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6730 ROOSEVELT AVE STE 303",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450050017",
            "telephone_number": "513-874-0486",
            "fax_number": "513-806-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 BROOKVIEW CENTRE WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194049",
            "telephone_number": "513-808-5510",
            "fax_number": "513-880-0521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6730 Roosevelt Ave Ste 303",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "450050017",
            "country_code": "US",
            "telephone_number": "513-874-0486",
            "fax_number": "513-806-2249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNEIL",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0031652",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.426534",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BOARD OF NURSING",
            "identifier": "RN.426534",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.