Active NPI
Jennifer Simmons, CNP
- Women's Health Nurse Practitioner
- Sylvania, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- APRN.CNP.0029980
- Practice address
- 5308 Harroun Rd Ste 160
Sylvania, OH 43560-2174 - Phone
- (419) 824-5668
- Fax
- (419) 885-6919
- NPI assigned
- Jul 11, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209010809 | IL | |
| Women's Health Nurse Practitioner | 363LW0102X | 209010809 | IL | |
| Women's Health Nurse Practitioner | 363LW0102X | APRN.CNP.0029980 | OH | Primary |
Addresses
Primary practice location
5308 Harroun Rd Ste 160
Sylvania, OH 43560-2174
Mailing address
333 N Summit St FL 7
Toledo, OH 43604-1531
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209010809 | Other | IL | ADVANCED PRACTICE NURSE |
| RN287709 | Other | OH | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1901 W Harrison St
Chicago, IL 60612-3714
Phone (312) 633-7292
Hospital & facility affiliations
- John H Stroger Jr Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209010809 | IL | MD | Women's Health Nurse Practitioner |
| APRN.CNP.0029980 | OH | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promedica Central Physicians | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients | |
| Mercy Health Physicians Lorain Specialty Care LLC | Nurse Practitioner | Current | Accepting new patients |
| Promedica Central Physicians | Nurse Practitioner | Current | Accepting new patients |
| Cook County | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients | |
| Mercy Health Physicians Lorain Specialty Care LLC | Current | Accepting new patients | |
| Associates in Central Ohio Obstertics & Gynecology, Inc. | Past | Accepting new patients | |
| John H Stroger Jr Hospital Cook County | Past | Accepting new patients |
Locations
1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100
500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000
578 N Leavitt Rd
Amherst, OH 44001
Phone (440) 960-3912
41201 Schadden Rd
Elyria, OH 44035
Phone (440) 324-0400
5308 Harroun Rd
Ste 160
Sylvania, OH 43560
Phone (419) 824-5668
5308 Harroun Rd
Ste 150
Sylvania, OH 43560
Phone (419) 824-5640
2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112
333 N Summit St
Fl 7
Toledo, OH 43604
Phone (419) 252-5909
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- jennifer.simmons.p3@direct.acoog.nextgenshare.com
Organizations & group practices 9
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.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1588612832
-
- Surgery Physician
- Lorain, OH
- NPI 1972126381
Nurse Practitioner
-
- Durable Medical Equipment & Medical Supplies
- Vermilion, OH
- NPI 1255063145
-
- Durable Medical Equipment & Medical Supplies
- Toledo, OH
- NPI 1669068482
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1821385170
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1831219450
-
- Specialist
- Reynoldsburg, OH
- NPI 1770692139
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1992914733
Hospital & facility affiliations 27
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": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635984000000",
"number": "1164620159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 N SUMMIT ST FL 7",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436041531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5308 HARROUN RD STE 160",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "435602174",
"telephone_number": "419-824-5668",
"fax_number": "419-885-6919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "JENNIFER",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-11",
"last_updated": "2021-11-04",
"certification_date": "2021-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209010809",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "IL",
"license": "209010809",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "OH",
"license": "APRN.CNP.0029980",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVANCED PRACTICE NURSE",
"identifier": "209010809",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "RN287709",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sylvania, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.