Jason Allen Bishop, MSN, APRN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Ashland, OH
NPI 1295344463 · NPPES record last updated May 3, 2021
Key facts
- NPI
- 1295344463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN.CNP.026489 (OH)
- Practice address
- 1016 Sugarbush Dr
Ashland, OH 44805-9489 - Phone
- (419) 903-0404
- NPI assigned
- Jul 23, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Central Ohio Family Care Center Inc
Practice addresses (Care Compare)
24 E Whitney Ave
Shelby, OH 44875-1282
Phone (567) 247-0870
2981 W 4TH St
Ontario, OH 44906-1267
Phone (419) 468-0505
600 Richland Mall
Ontario, OH 44906-1246
Phone (419) 468-0505
987 State Route 97
Bellville, OH 44813-7001
Phone (567) 560-3790
Hospital & facility affiliations
- Avita Ontario
- Galion Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210125003049 | OH | Practitioner - Nurse Practitioner | 1658785100 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.026489 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Incare Health Solutions LLC | Current |
Accepting new patients | |
| Incare Health Solutions, LLC | Family | Current |
Accepting new patients |
Locations
1016 Sugarbush Dr
Ashland, OH 44805
Phone (419) 903-0404
1055 W Royalton Rd
Broadview Heights, OH 44147
Phone (440) 457-3073
3439 Center Rd
Brunswick, OH 44212
Phone (330) 741-4029
211 Edgefield Blvd
Marion, OH 43302
7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002
2562 W Market St
Tiffin, OH 44883
Phone (567) 938-8008
Interoperability endpoints
- jbishop1056510@direct.osumc.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.026489 | OH | Yes |
Addresses
Primary practice location
1016 Sugarbush Dr
Ashland, OH 44805-9489
Mailing address
1016 Sugarbush Dr
Ashland, OH 44805-9489
Phone (419) 903-0404
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | firefighter_44090@hotmail.com | Direct |
Other providers in Ashland, OH
- Matthew Cole Bernhard
- Kenneth Biddle
- Sara Rose Bille
- Bio-Medical Applications of Ohio, Inc.
- Heidi Joy Bird
- Lynda Jo Black
- Steven R Black
- Jennifer Elizabeth Blagg
- Ashley R Blake
- Tanya Blough
All providers in Ashland, OH · Family Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.