NPIMap

Individual provider Active NPI

Jennifer Simmons, CNP

  • Women's Health Nurse Practitioner
  • Sylvania, OH
National Provider Identifier
1164620159
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APRN.CNP.0029980 Issued in OH
Practice address
5308 Harroun Rd Ste 160
Sylvania, OH 43560-2174
Phone
(419) 824-5668
Fax
(419) 885-6919
NPI assigned
Jul 11, 2007
Last updated
Nov 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080305000056 OH Practitioner - Nurse Practitioner 4284719063 Reassigns benefits to 2 organizations
I20140609000019 IL Practitioner - Nurse Practitioner 4284719063 Reassigns benefits to 1 organization

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
Cook CountyGroup PAC ID 2860398088, 770 clinicians

Practice addresses (Care Compare)

1901 W Harrison St
Chicago, IL 60612-3714
Phone (312) 633-7292

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209010809ILMDNurse Practitioner
APRN.CNP.0029980OHMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians Nurse Practitioner CurrentSince Nov 1, 2021 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Jan 1, 2024 Accepting new patients
Cook County Current Accepting new patients
Promedica Central Physicians CurrentSince Nov 1, 2021 Accepting new patients
Cook County CurrentSince Aug 15, 2024 Accepting new patients
Cook County CurrentSince Aug 15, 2024 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC Nurse Practitioner CurrentSince Jan 1, 2024 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 150
Sylvania, OH 43560
Phone (419) 824-5640

5308 Harroun Rd
Ste 160
Sylvania, OH 43560
Phone (419) 824-5668

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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

Verify at the official NPI Registry.