Emily Ellen Jackson, C.N.P

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

023692 Issued in OH

Practice address

160 Roberts LN
Hillsboro, OH 45133-7615

Phone

(937) 393-9955

Fax

(937) 393-9966

NPI assigned

Nov 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adena Medical Group LLCGroup PAC ID 1153456579, 384 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adams County Homecare LLC Home health agency, Winchester, OH, CCN 367055
• Adena Regional Medical Center Hospital, Chillicothe, OH, CCN 360159
• Highland District Hospital Hospital, Hillsboro, OH, CCN 361332
• Greenfield Area Medical Center Hospital, Greenfield, OH, CCN 361304
• Trihealth Clinton Regional Hospital Hospital, Wilmington, OH, CCN 360175
• Adena Fayette Medical Center Hospital, Washington CH, OH, CCN 361331

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ejackson1061368@direct.osumc.edu

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.

• Adena Medical Group LLC

  • Family Medicine Physician
  • Chillicothe, OH
  • NPI 1235468083
  Medicare reassignment Care Compare group NPD
• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adams County Homecare, LLC

  • Home Health Agency
  • Winchester, OH
  • NPI 1306220298
  Care Compare affiliation
• Adena Fayette Medical Center

  • Critical Access Hospital
  • Washington Court House, OH
  • NPI 1508978677
  Care Compare affiliation
• Adena Health System

  • General Acute Care Hospital
  • Chillicothe, OH
  • NPI 1902839673
  Care Compare affiliation
• Greenfield Area Medical Center

  • Critical Access Hospital
  • Greenfield, OH
  • NPI 1215960901
  Care Compare affiliation
• Highland District Hospital

  • Critical Access Hospital
  • Hillsboro, OH
  • NPI 1225053119
  Care Compare affiliation
• Trihealth Hospital, Inc.

  • General Acute Care Hospital
  • Wilmington, OH
  • NPI 1457243586
  Care Compare affiliation

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1225507445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 ROBERTS LN",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451337615",
            "telephone_number": "937-393-9955",
            "fax_number": "937-393-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 ROBERTS LN",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451337615",
            "telephone_number": "937-393-9955",
            "fax_number": "937-393-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "EMILY",
        "middle_name": "ELLEN",
        "credential": "C.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-16",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "023692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adenafamilymedicinehillsboro@adena.medicity.net",
            "affiliation": "N",
            "address_1": "160 Roberts Ln",
            "city": "Hillsboro",
            "state": "OH",
            "country_code": "US",
            "postal_code": "451337615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dylan Ross Hunter, DC
• Melinda Lea Hunter
• Megan Rachelle Iles, PT, DPT
• Linda Lou Ison-Jones
• Kathleen Ison, IND. PROV.
• James T. McKown D.D.S., Inc.
• Jeffrey Todd Reed, Inc
• Krista Joehnk, FNP-BC
• Brian C Johnson, R.PH.
• Brian K Jolitz, DO

• Family Nurse Practitioner in Hillsboro, OH
• Providers in Hillsboro, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.