Individual provider Active NPI

Jacqueline M King, APRN-CNP

  • Women's Health Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1174381503
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APRN.CNP.0036712 Issued in OH
Practice address
1800 Zollinger Rd FL 4
Columbus, OH 43221-2800
Phone
(614) 293-3069
Fax
(614) 293-3332
NPI assigned
Mar 11, 2024
Last updated
May 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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 APRN.CNP.0036712 OH
Women's Health Nurse Practitioner 363LW0102X APRN.CNP.0036712 OH Primary
Ambulatory Women's Health Care Registered Nurse 163WW0101X RN.497736 OH

Addresses

Primary practice location

1800 Zollinger Rd FL 4
Columbus, OH 43221-2800

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-3069

Other practice location 1

1511 W Broad St
Columbus, OH 43222-1000
Phone (614) 222-3604

Other names 1

  • Jacqueline Marie Sutton 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
I20250508000408 OH Practitioner - Nurse Practitioner 7012434590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osu GYN and OB Consultants LLCGroup PAC ID 5092613257, 72 clinicians

Practice addresses (Care Compare)

1800 Zollinger Rd
FL 4
Columbus, OH 43221-2800
Phone (614) 293-3069

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.497736OHMDAmbulatory Women's Health Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Osu GYN & OB Consultants LLC CurrentSince May 1, 2025 Accepting new patients
Planned Parenthood of Greater Ohio Women's Health Past Accepting new patients
Planned Parenthood of Greater Ohio Past Accepting new patients
Planned Parenthood of Greater Ohio Past Accepting new patients
Planned Parenthood of Greater Ohio Past Accepting new patients
Planned Parenthood of Greater Ohio Past Accepting new patients
Planned Parenthood of Greater Ohio Past Accepting new patients
Planned Parenthood of Greater Ohio Women's Health Past Accepting new patients
Planned Parenthood of Greater Ohio Past Accepting new patients
Planned Parenthood of Greater Ohio Past Accepting new patients
Planned Parenthood of Greater Ohio Past Accepting new patients
Planned Parenthood of Greater Ohio Past Accepting new patients
Planned Parenthood of Greater Ohio Past Accepting new patients

Locations

1800 Zollinger Rd
Fl 4
Columbus, OH 43221
Phone (614) 293-2222

700 Ackerman Rd
Ste 2120
Columbus, OH 43202

3651 Ridge Mill Dr
Hilliard, OH 43026
Phone (614) 293-3873

Interoperability endpoints

  • Direct secure messaging: jking1560854@direct.osumc.edu

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

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": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1174381503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-293-3069",
            "fax_number": "614-293-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 ZOLLINGER RD FL 4",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212800",
            "telephone_number": "614-293-3069",
            "fax_number": "614-293-3332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1511 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432221000",
            "country_code": "US",
            "telephone_number": "614-222-3604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "JACQUELINE",
        "middle_name": "M",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0036712",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "APRN.CNP.0036712",
            "primary": true
        },
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "OH",
            "license": "RN.497736",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "SUTTON",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.