Individual provider Active NPI

Jennifer Lynn Wyrock Grano, AGNP-C

  • Nurse Practitioner
  • Mogadore, OH
National Provider Identifier
1275370959
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0036967 Issued in OH
Practice address
754 S Cleveland Ave Ste 300
Mogadore, OH 44260-2210
Phone
(330) 877-3008
NPI assigned
Jul 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0036967 OH Primary

Addresses

Primary practice location

754 S Cleveland Ave Ste 300
Mogadore, OH 44260-2210

Mailing address

754 S Cleveland Ave Ste 300
Mogadore, OH 44260-2210
Phone (330) 877-3008

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
I20241004002617 OH Practitioner - Nurse Practitioner 2769913441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oh Independent Medical Group LLCGroup PAC ID 0648646034, 136 clinicians

Practice addresses (Care Compare)

754 S Cleveland Ave
Suite 300
Mogadore, OH 44260-2210
Phone (330) 877-3008

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0036967OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oh Independent Medical Group LLC CurrentSince Aug 18, 2025 Accepting new patients
Oh Independent Medical Group LLC CurrentSince Aug 18, 2025 Accepting new patients

Locations

754 S Cleveland Ave
Ste 300
Mogadore, OH 44260
Phone (330) 628-2686

444 N Cleveland Ave
Ste 120
Westerville, OH 43082
Phone (614) 818-0300

Interoperability endpoints

  • Direct secure messaging: jennifer.wyrock.1@26020.direct.athenahealth.com

Organizations & group practices 2

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 5

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": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1275370959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 S CLEVELAND AVE STE 300",
            "city": "MOGADORE",
            "state": "OH",
            "postal_code": "442602210",
            "telephone_number": "330-877-3008",
            "fax_number": "330-877-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 S CLEVELAND AVE STE 300",
            "city": "MOGADORE",
            "state": "OH",
            "postal_code": "442602210",
            "telephone_number": "330-877-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANO",
        "first_name": "JENNIFER",
        "middle_name": "LYNN WYROCK",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-10",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0036967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mogadore, OH

Sources for this page

Verify at the official NPI Registry.