Individual provider Active NPI

Jill Susan Hassman, MLP NURSE PRACTITION

  • Women's Health Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1174837199
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
COA.11741 Issued in OH
Practice address
379 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone
(513) 481-4777
Fax
(513) 389-0473
NPI assigned
Aug 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.308892 OH
Women's Health Nurse Practitioner 363LW0102X COA.11741 OH Primary

Addresses

Primary practice location

379 Dixmyth Ave
Cincinnati, OH 45220-2475

Mailing address

PO Box 633448
Cincinnati, OH 45263-3448
Phone (513) 569-6117

Other identifiers 1

IdentifierTypeStateIssuer
0133033MedicaidOH

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
I20100923000070 OH Practitioner - Nurse Practitioner 7618093030 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians

Practice addresses (Care Compare)

375 Dixmyth Ave
Cincinnati, OH 45220-2475

379 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 246-7000

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.308892OHMDRegistered Nurse
COA.11741OHMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G LLC CurrentSince May 15, 2017 Accepting new patients
Trihealth H LLC CurrentSince Nov 1, 2021 Accepting new patients
Trihealth G, LLC CurrentSince May 15, 2017 Accepting new patients
Trihealth Physician Institute Past Accepting new patients

Locations

6480 Harrison Ave
Ste 300
Cincinnati, OH 45247
Phone (513) 662-8222

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

379 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-1400

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

3747 W Fork Rd
Cincinnati, OH 45247
Phone (513) 481-4777

Interoperability endpoints

  • Direct secure messaging: jhassman32113@direct.trihealth.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1174837199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 633448",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452633448",
            "telephone_number": "513-569-6117",
            "fax_number": "513-853-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 DIXMYTH AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452202475",
            "telephone_number": "513-481-4777",
            "fax_number": "513-389-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSMAN",
        "first_name": "JILL",
        "middle_name": "SUSAN",
        "credential": "MLP NURSE PRACTITION",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-02",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.308892",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "COA.11741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0133033",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.