Individual provider Active NPI

Andrea Jones, CNP

  • Nurse Practitioner
  • Newark, OH
National Provider Identifier
1215307467
Registry record updated Nov 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.18202 Issued in OH
Practice address
595 Country Club Dr
Newark, OH 43055-2154
Phone
(740) 334-2527
NPI assigned
Sep 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X OH
Family Nurse Practitioner 363LF0000X APRN.CNP.18202 OH
Nurse Practitioner 363L00000X APRN.CNP.18202 OH Primary

Addresses

Primary practice location

595 Country Club Dr
Newark, OH 43055-2154

Mailing address

910 Golden Dr
Newark, OH 43055-1746
Phone (740) 334-2527

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
I20171108001537 OH Practitioner - Nurse Practitioner 4486910429 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
National Youth Advocate Program, Inc CurrentSince Oct 11, 2017 Accepting new patients
National Youth Advocate Program, Inc Mental Health (Including Community Mental Health Center) CurrentSince Oct 11, 2017 Accepting new patients
Alpha Medical Services, LLC CurrentSince Mar 1, 2020 Accepting new patients
Moodrx, LLC Nurse Practitioner CurrentSince Aug 4, 2024 Accepting new patients
Moodrx, LLC Mental Health (Including Community Mental Health Center) Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

527 S High St
Columbus, OH 43215
Phone (614) 227-9444

1801 Watermark Dr
Ste 200
Columbus, OH 43215

594 Newark Granville Rd
Granville, OH 43023
Phone (740) 587-1361

595 Country Club Dr
Newark, OH 43055
Phone (740) 239-8080

59 Grant St
Newark, OH 43055
Phone (740) 349-7511

501 Main St
Zanesville, OH 43701
Phone (740) 349-7511

Organizations & group practices 6

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": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764374400000",
    "number": "1215307467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 GOLDEN DR",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551746",
            "telephone_number": "740-334-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 COUNTRY CLUB DR",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430552154",
            "telephone_number": "740-334-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ANDREA",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2025-11-29",
        "certification_date": "2025-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.18202",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.18202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

Verify at the official NPI Registry.