Individual provider Active NPI

Jennifer Karen Tuck-Chappill, MD, LMSW

  • Family Medicine Physician
  • Middleburg Heights, OH
National Provider Identifier
1164988820
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.154454 Issued in OH
Practice address
17840 Bagley Rd
Middleburg Heights, OH 44130-3401
Phone
(440) 531-6000
NPI assigned
Feb 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.154454 OH Primary
Social Worker 104100000X
Family Medicine Physician 207Q00000X 57471 KY

Addresses

Primary practice location

17840 Bagley Rd
Middleburg Heights, OH 44130-3401

Mailing address

17840 Bagley Rd
Middleburg Heights, OH 44130-3401
Phone (440) 531-6000

Other practice location 1

1000 Breckenridge St Ste 401
Owensboro, KY 42303-0878
Phone (270) 688-4401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231011003608 KY Practitioner - Family Practice 3577918507 Reassigns benefits to 1 organization
I20251030002507 OH Practitioner - Family Practice 3577918507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Owensboro Health, IncGroup PAC ID 0547154650, shared by 9 NPIs, 179 clinicians

Practice addresses (Care Compare)

1000 Breckenridge St
Suite 401
Owensboro, KY 42303-0878
Phone (270) 688-4401

1006 Ford Ave
Owensboro, KY 42301-4677
Phone (270) 688-4845

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
57471KYMDFamily Medicine Physician
35.154454OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group Inc Current Accepting new patients
Owensboro Health Medical Group, Inc Family Medicine CurrentSince Sep 1, 2023 Accepting new patients
Owensboro Health Medical Group Inc CurrentSince Sep 1, 2023 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Oct 15, 2025 Accepting new patients

Locations

1000 Breckenridge St
Ste 401
Owensboro, KY 42303
Phone (270) 685-1066

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

17840 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 234-8500

Interoperability endpoints

  • Direct secure messaging: jtuckchappill122464@direct.owensborohealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1164988820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17840 BAGLEY RD",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303401",
            "telephone_number": "440-531-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17840 BAGLEY RD",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303401",
            "telephone_number": "440-531-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Breckenridge St Ste 401",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423030878",
            "country_code": "US",
            "telephone_number": "270-688-4401",
            "fax_number": "270-688-4409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCK-CHAPPILL",
        "first_name": "JENNIFER",
        "middle_name": "KAREN",
        "credential": "MD, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-18",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.154454",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "57471",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

Verify at the official NPI Registry.