Individual provider Active NPI

Jennifer Hull

  • Acute Care Nurse Practitioner
  • Lorain, OH
National Provider Identifier
1285277731
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN.CNP.025545 Issued in OH
Practice address
3364 Kolbe Rd
Lorain, OH 44053-1628
Phone
(440) 320-5005
Fax
(440) 654-4055
NPI assigned
Oct 28, 2019
Last updated
Dec 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN.CNP.025545 OH Primary
Gerontology Nurse Practitioner 363LG0600X APRN.CNP.025545 OH

Addresses

Primary practice location

3364 Kolbe Rd
Lorain, OH 44053-1628

Mailing address

6271 Winter Foe TRL
Lorain, OH 44053-1899
Phone (440) 320-5005

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
I20200214001512 OH Practitioner - Nurse Practitioner 9234565094 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
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

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
63.13
Promoting interoperability
100
Improvement activities
40
Cost
74.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.025545OHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Cleveland Medical Center Current Accepting new patients
University Hospitals Cleveland Medical Center CurrentSince Jan 1, 2020 Accepting new patients
Hni Medical Services of Ohio, LLC CurrentSince May 1, 2022 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Apr 1, 2023 Accepting new patients
University Hospitals Cleveland Medical Center CurrentSince Jan 1, 2020 Accepting new patients

Locations

11100 Euclid Ave
Cleveland Heights, OH 44106

3364 Kolbe Rd
Lorain, OH 44053
Phone (440) 282-2244

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

Interoperability endpoints

  • Direct secure messaging: jhull28153@ehrdirect.uhhospitals.org

Organizations & group practices 5

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 1

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": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1285277731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6271 WINTER FOE TRL",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531899",
            "telephone_number": "440-320-5005",
            "fax_number": "440-654-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3364 KOLBE RD",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531628",
            "telephone_number": "440-320-5005",
            "fax_number": "440-654-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULL",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "APRN.CNP.025545",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.025545",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.