Individual provider Active NPI

Jamie Lynn Nutt, APRN, CNP

  • Family Nurse Practitioner
  • Coldwater, OH
National Provider Identifier
1164051710
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.026320 Issued in OH
Practice address
830 W Main St
Coldwater, OH 45828-1657
Phone
(419) 678-2341
Fax
(419) 678-3271
NPI assigned
Apr 6, 2020
Last updated
Apr 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.026320 OH Primary

Addresses

Primary practice location

830 W Main St
Coldwater, OH 45828-1657

Mailing address

308 Pleasant Ridge Dr
Celina, OH 45822-2680
Phone (419) 852-8711

Other names 1

  • Jamie Lynn Link Former name

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
I20200529001961 OH Practitioner - Nurse Practitioner 2062833072 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
Group practices

Practice addresses (Care Compare)

800 W Main St
Coldwater, OH 45828-1613
Phone (419) 678-2341

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Pathology, LLC Current Accepting new patients
Mercer County Joint Township Community Hospital CurrentSince May 18, 2020 Accepting new patients
Mercer County Joint Township Community Hospital CurrentSince May 18, 2020 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

800 W Main St
Coldwater, OH 45828
Phone (419) 678-2341

Interoperability endpoints

  • Direct secure messaging: jnutt846923@direct.osumc.edu

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 2

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": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1164051710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 PLEASANT RIDGE DR",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458222680",
            "telephone_number": "419-852-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 W MAIN ST",
            "city": "COLDWATER",
            "state": "OH",
            "postal_code": "458281657",
            "telephone_number": "419-678-2341",
            "fax_number": "419-678-3271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTT",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.026320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "LINK",
            "middle_name": "LYNN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coldwater, OH

Sources for this page

Verify at the official NPI Registry.