Individual provider Active NPI

Jenna Lynn Law, CNP

  • Family Nurse Practitioner
  • Wooster, OH
National Provider Identifier
1184250797
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F10190052 Issued in OH
Practice address
4164 Burbank Rd
Wooster, OH 44691-9077
Phone
(330) 345-8032
NPI assigned
Mar 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F10190052 OH Primary

Addresses

Primary practice location

4164 Burbank Rd
Wooster, OH 44691-9077

Mailing address

4135 Tuscarawas St W
Canton, OH 44708-5463

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
I20200909000584 OH Practitioner - Nurse Practitioner 1355769233 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthounited, Inc. 89 clinicians

Practice addresses (Care Compare)

7442 Frank Ave NW
North Canton, OH 44720-7018
Phone (330) 305-0838

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F10190052OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orthounited, Inc. CurrentSince Sep 3, 2024 Accepting new patients
Orthounited, Inc. Family CurrentSince Sep 3, 2024 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Nov 1, 2021 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Nov 1, 2021 Accepting new patients
Incare Health Solutions LLC PastSince Mar 1, 2020 Accepting new patients
Incare Health Solutions, LLC Family PastSince Mar 1, 2020 Accepting new patients

Locations

2400 Corporate Exchange Dr
Ste 102
Columbus, OH 43231

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

7442 Frank Ave NW
North Canton, OH 44720
Phone (330) 305-0838

1200 Vester Ave
Springfield, OH 45503
Phone (937) 342-9520

1301 W 1st St
Springfield, OH 45504
Phone (937) 271-0066

4164 Burbank Rd
Wooster, OH 44691
Phone (330) 345-8032

101 S Orange St
Xenia, OH 45385
Phone (937) 271-0066

1301 Boardman Poland Rd
Youngstown, OH 44514
Phone (330) 629-2300

Organizations & group practices 8

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": "1584144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1184250797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 TUSCARAWAS ST W",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447085463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4164 BURBANK RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446919077",
            "telephone_number": "330-345-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAW",
        "first_name": "JENNA",
        "middle_name": "LYNN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-14",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "F10190052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.