Individual provider Active NPI

Jessica Kincaid, CNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Findlay, OH
National Provider Identifier
1255939054
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0027599 Issued in OH
Practice address
1918 N Main St
Findlay, OH 45840-3818
Phone
(419) 425-5050
Fax
(419) 423-6464
NPI assigned
Oct 14, 2020
Last updated
Aug 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0027599 OH Primary

Addresses

Primary practice location

1918 N Main St
Findlay, OH 45840-3818

Mailing address

530 S Main St
Lima, OH 45804-1240

Other practice location 1

1101 N Vandemark Rd
Sidney, OH 45365-3567
Phone (937) 701-4616

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
I20210322001963 OH Practitioner - Nurse Practitioner 9537576491 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Moonshot Psychiatric Nurse Practitioner PCGroup PAC ID 9335589696, 79 clinicians

Practice addresses (Care Compare)

868 Franklin Ave
Columbus, OH 43205-1138
Phone (201) 748-2806

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0027599OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Moonshot Psychiatric Nurse Practitioner PC Psychiatric/Mental Health CurrentSince Dec 2, 2025 Accepting new patients
Family Resource Center of Northwest Ohio Inc CurrentSince Jul 28, 2021 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Family Resource Center of Northwest Ohio Inc Past Accepting new patients

Locations

1918 N Main St
Findlay, OH 45840
Phone (419) 425-5050

530 S Main St
Lima, OH 45804
Phone (419) 222-1168

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.

NPI Registry JSON

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1255939054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 S MAIN ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458041240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 N MAIN ST",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458403818",
            "telephone_number": "419-425-5050",
            "fax_number": "419-423-6464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 N Vandemark Rd",
            "address_purpose": "LOCATION",
            "city": "Sidney",
            "state": "OH",
            "postal_code": "453653567",
            "country_code": "US",
            "telephone_number": "937-701-4616",
            "fax_number": "937-492-2533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINCAID",
        "first_name": "JESSICA",
        "credential": "CNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0027599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Findlay, OH

Sources for this page

Verify at the official NPI Registry.