Individual provider Active NPI

Jennifer Lynn Hermiller, CNM

  • Advanced Practice Midwife
  • Lima, OH
National Provider Identifier
1275117228
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN.CNM.0019479 Issued in OH
Practice address
1220 E Elm St Ste 101
Lima, OH 45804-2803
Phone
(419) 998-8245
Fax
(419) 998-8247
NPI assigned
May 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APRN.CNM.0019479 OH Primary

Addresses

Primary practice location

1220 E Elm St Ste 101
Lima, OH 45804-2803

Mailing address

PO Box 204
Kalida, OH 45853-0204
Phone (419) 722-2455

Other practice location 1

1001 Bellefontaine Ave
Lima, OH 45804-2800
Phone (419) 998-4570

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210618000377 OH Practitioner - Certified Nurse Midwife (CNM) 2769882323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1220 E Elm St
Suite 101
Lima, OH 45804-2803
Phone (419) 998-8245

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Professional Corporation CurrentSince Jun 1, 2021 Accepting new patients
Lima Memorial Professional Corporation Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

L3982
Columbus, OH 43260

1220 E Elm St
Ste 101
Lima, OH 45804
Phone (419) 227-0824

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

140 Fox Rd
Ste 103
Van Wert, OH 45891
Phone (419) 228-7275

Interoperability endpoints

  • Direct secure messaging: jennifer.hermiller@lmpc.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1275117228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 204",
            "city": "KALIDA",
            "state": "OH",
            "postal_code": "458530204",
            "telephone_number": "419-722-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E ELM ST STE 101",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458042803",
            "telephone_number": "419-998-8245",
            "fax_number": "419-998-8247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Bellefontaine Ave",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458042800",
            "country_code": "US",
            "telephone_number": "419-998-4570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERMILLER",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "APRN.CNM.0019479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.