Jalane Sernessa

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0030397 Issued in OH

Practice address

620 S Cleveland Ave
Westerville, OH 43081-8970

Phone

(614) 891-9771

NPI assigned

Feb 16, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, VA2 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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Eventus Premier Healthcare LLCGroup PAC ID 6305381013, 105 clinicians

Extended Care Specialists, IncGroup PAC ID 2466407713, 295 clinicians

Eventus Wholehealth Midwest IncGroup PAC ID 4183040470, 120 clinicians

Eventus Ecs, IncGroup PAC ID 2163969650, 243 clinicians

Eventus WH Mid-Atlantic Care LLCGroup PAC ID 8921534744, 89 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26301/brand/1/csg/1/fhir/r4

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.

• Eventus Ecs, Inc

  • Nurse Practitioner
  • Indianapolis, IN
  • NPI 1073353496

  OH

  Medicare reassignment Care Compare group NPD
• Eventus Premier Healthcare LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Midlothian, VA
  • NPI 1437998309
  Medicare reassignment Care Compare group NPD
• Eventus WH Mid-Atlantic Care LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Midlothian, VA
  • NPI 1063253490
  Medicare reassignment Care Compare group NPD
• Eventus Wholehealth Midwest Inc

  • Family Medicine Physician
  • Columbus, IN
  • NPI 1386252757

  OH

  Medicare reassignment Care Compare group NPD
• Extended Care Specialists, Inc

  • Adult Medicine Physician
  • Merrillville, IN
  • NPI 1134146079

  Family, OH

  Medicare reassignment Care Compare group NPD
• At Your Door Visiting Healthcare Services, LLC

  • Family Nurse Practitioner
  • Columbus, OH
  • NPI 1750760849
  Medicare reassignment NPD
• Eventus Ecs - Ohio LLC

  • Nurse Practitioner
  • Hilliard, OH
  • NPI 1972321842

  Family

  Medicare reassignment NPD
• Eventus WH Mid-Atlantic, LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Midlothian, VA
  • NPI 1700627130
  Medicare reassignment NPD
• Eventus WH PLLC Care, LLC

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1639990658

  VA

  Medicare reassignment NPD
• Health First Medical Center

  • Family Medicine Physician
  • Gahanna, OH
  • NPI 1760940316
  NPD (past)

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1154076271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 S CLEVELAND AVE",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818970",
            "telephone_number": "614-891-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S CLEVELAND AVE",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818970",
            "telephone_number": "614-891-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERNESSA",
        "first_name": "JALANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-16",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "F10210837",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024192978",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0030397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sequoia Therapy Group LLC
• Serenity Behavioral Health Services
• Serenity Behavioral Health Services, Inc.
• Serenity Support Services
• Christina Sergakis
• Isatu Memuna Sesay, RN
• Shackle LLC
• Hadijat Shado
• Jonathan Shado, STNA.
• Susan Lorena Shadwick, IMFT-S, LMFT, ATR-BC

• Family Nurse Practitioner in Westerville, OH
• Providers in Westerville, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.

Verify at the official NPI Registry.