Individual provider Active NPI

Jocelyn J Perdeau, CNP

  • Family Nurse Practitioner
  • Maumee, OH
National Provider Identifier
1265417364
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.07311 Issued in OH
Practice address
111 Clinton St
Maumee, OH 43537-2811
Phone
(734) 464-0887
Fax
(734) 402-0254
NPI assigned
Dec 12, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN-268844 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.07311 OH Primary

Addresses

Primary practice location

111 Clinton St
Maumee, OH 43537-2811

Mailing address

36115 Schoolcraft Rd
Livonia, MI 48150-1216
Phone (734) 464-0887

Other identifiers 5

IdentifierTypeStateIssuer
2413070MedicaidOH
01973OtherOHPARAMOUNT
P00193327OtherOHRAILROAD MEDICARE
114719896MedicaidMI
000000213037OtherOHANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040608000228 OH Practitioner - Nurse Practitioner 5496738940 Reassigns benefits to 4 organizations
I20110811000684 MI Practitioner - Nurse Practitioner 5496738940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peyton Care Professionals LLCGroup PAC ID 8022260413, 6 clinicians
Talbot Clinical Services of Ohio LLCGroup PAC ID 9032422860, shared by 2 NPIs, 11 clinicians

Practice addresses (Care Compare)

118 E Indiana Ave
Maumee, OH 43537-2826
Phone (419) 893-9230

732 Main St
Toledo, OH 43605-2397
Phone (614) 599-3800

Hospital & facility affiliations

  • Ohioans Home Healthcare, Inc Home health agency, Perrysburg, OH, CCN 368247
  • University of Toledo Medical Center Hospital, Toledo, OH, CCN 360048
  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN-268844OHMDRegistered Nurse
APRN.CNP.07311OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Management Services CurrentSince Nov 24, 2024 Accepting new patients
Talbot Clinical Services of Ohio LLC CurrentSince Jun 14, 2025 Accepting new patients
Talbot Clinical Services of Ohio LLC CurrentSince Apr 4, 2025 Accepting new patients
Talbot Clinical Services of Ohio LLC CurrentSince Apr 4, 2025 Accepting new patients
Premier Practitioners, LLC Past Accepting new patients
Seniors Wellness Group of Michigan, P.C. Past Accepting new patients

Locations

8465 Keystone Xing
Ste 210
Indianapolis, IN 46240

11690 Grooms Rd
Blue Ash, OH 45242
Phone (317) 870-1396

732 Main St
Toledo, OH 43605
Phone (419) 691-0600

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1134345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1265417364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36115 SCHOOLCRAFT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501216",
            "telephone_number": "734-464-0887",
            "fax_number": "734-402-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CLINTON ST",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435372811",
            "telephone_number": "734-464-0887",
            "fax_number": "734-402-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERDEAU",
        "first_name": "JOCELYN",
        "middle_name": "J",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-12",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN-268844",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.07311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2413070",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "01973",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00193327",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114719896",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000213037",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

Verify at the official NPI Registry.