Individual provider Active NPI

Brooke Jennings, APRN-CNP

  • Nurse Practitioner
  • Zanesville, OH
National Provider Identifier
1184123473
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
022297 Issued in OH
Practice address
1210 Ashland Ave
Zanesville, OH 43701-2806
Phone
(740) 454-8551
Fax
(740) 454-2411
NPI assigned
Feb 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 022297 OH Primary

Addresses

Primary practice location

1210 Ashland Ave
Zanesville, OH 43701-2806

Mailing address

1320 West Main St
Newark, OH 43055
Phone (220) 564-4027

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
I20180214001728 OH Practitioner - Nurse Practitioner 7315207271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Primary Care Physicians, LLCGroup PAC ID 5294992293, 45 clinicians

Practice addresses (Care Compare)

1210 Ashland Ave
Zanesville, OH 43701-2806
Phone (740) 454-0370

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
022297OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Primary Care Physicians LLC CurrentSince Jan 22, 2019 Accepting new patients
Licking Memorial Professional Corp. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1210 Ashland Ave
Zanesville, OH 43701
Phone (740) 452-1905

Organizations & group practices 3

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 6

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": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1184123473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 WEST MAIN ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "43055",
            "telephone_number": "220-564-4027",
            "fax_number": "220-564-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 ASHLAND AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012806",
            "telephone_number": "740-454-8551",
            "fax_number": "740-454-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-02",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "022297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.