Individual provider Active NPI

Jennifer Entsie, APRN, FNP-BC

  • Family Nurse Practitioner
  • Kent, OH
National Provider Identifier
1255066056
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0031497 Issued in OH
Practice address
143 Gougler Ave
Kent, OH 44240-2401
Phone
(330) 673-1016
NPI assigned
Jul 18, 2022
Last updated
Apr 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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 APRN.CNP.0031497 OH Primary

Addresses

Primary practice location

143 Gougler Ave
Kent, OH 44240-2401

Mailing address

1400 S Arlington St Unit 38
Akron, OH 44306-3771
Phone (330) 724-5471

Other practice location 1

390 Robinson Ave Ste E
Barberton, OH 44203-3659
Phone (888) 975-9188

Other practice location 2

1400 S Arlington St Unit 38
Akron, OH 44306-3771
Phone (888) 975-9188

Other practice location 3

340 S Broadway St
Akron, OH 44308-1529
Phone (888) 975-9188

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
I20220830004038 OH Practitioner - Nurse Practitioner 1153705702 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0031497OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Axess Family Services Inc CurrentSince Aug 22, 2022 Accepting new patients
Axess Family Services Inc Current Accepting new patients
University Hospitals Medical Group Inc CurrentSince May 20, 2024 Accepting new patients
Axess Family Services Inc CurrentSince Aug 22, 2022 Accepting new patients

Locations

1400 S Arlington St
Unit 38
Akron, OH 44306
Phone (330) 724-5471

340 S Broadway St
Akron, OH 44308
Phone (330) 253-3100

390 Robinson Ave
Ste E
Barberton, OH 44203
Phone (330) 564-2697

11100 Euclid Ave
Cleveland Heights, OH 44106

143 Gougler Ave
Kent, OH 44240
Phone (330) 673-1016

Interoperability endpoints

  • Direct secure messaging: jentsie573946@ehrdirect.uhhospitals.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1255066056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S ARLINGTON ST UNIT 38",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443063771",
            "telephone_number": "330-724-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 GOUGLER AVE",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442402401",
            "telephone_number": "330-673-1016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "390 Robinson Ave Ste E",
            "address_purpose": "LOCATION",
            "city": "Barberton",
            "state": "OH",
            "postal_code": "442033659",
            "country_code": "US",
            "telephone_number": "888-975-9188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 S Arlington St Unit 38",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443063771",
            "country_code": "US",
            "telephone_number": "888-975-9188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "340 S Broadway St",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443081529",
            "country_code": "US",
            "telephone_number": "888-975-9188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENTSIE",
        "first_name": "JENNIFER",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0031497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, OH

Sources for this page

Verify at the official NPI Registry.