Jennifer Goellner, CNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0028971 Issued in OH

Practice address

445 W Liberty St Ste 226
Medina, OH 44256-2265

Phone

(234) 802-9180

NPI assigned

Mar 2, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH, PA, WV3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.06 of 100Reported as group

Quality

90.22

Promoting interoperability

100

Improvement activities

40

Cost

69.97

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Inpsychful Minds LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Medina, OH
  • NPI 1366299406
  Medicare reassignment NPD Authorized official
• Alcove Ventures LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cleveland, OH
  • NPI 1093191322
  Medicare reassignment NPD
• P360 Care Services PLLC Dba Psych 360

  • Psychiatric/Mental Health Nurse Practitioner
  • Beaver, PA
  • NPI 1750058202
  Medicare reassignment NPD
• West Virginia Psych. Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wheeling, WV
  • NPI 1407427321
  Medicare reassignment NPD

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716768000000",
    "number": "1235521089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 W LIBERTY ST STE 226",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562265",
            "telephone_number": "234-802-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 W LIBERTY ST STE 226",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562265",
            "telephone_number": "234-802-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOELLNER",
        "first_name": "JENNIFER",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-02",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0028971",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0028971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "444774",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "302487",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annette F. Gill, MSN, CRNA
• Frank Steven Ginnetti Jr., MSPT
• Summer Gissendaner, RBT
• Jordan E Goad, PA-C
• Teresa Elizabeth Goebel, D.O.
• Jennifer Gogolek, LPCC-S
• Alex Goncharuk
• Katharine Goodman, LISW
• Ryanne Goodman, MFT
• Lorena B Goold, PHD

• Psychiatric/Mental Health Nurse Practitioner in Medina, OH
• Providers in Medina, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2024; 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.