Individual provider Active NPI

Jayla M Balbaugh

  • Physician Assistant
  • Lima, OH
National Provider Identifier
1306658885
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.010106RX Issued in OH
Practice address
1003 Bellefontaine Ave Ste 125
Lima, OH 45804-1867
Phone
(419) 998-8207
NPI assigned
Jan 22, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.010106RX OH Primary

Addresses

Primary practice location

1003 Bellefontaine Ave Ste 125
Lima, OH 45804-1867

Mailing address

1001 Bellefontaine Ave
Lima, OH 45804-2800
Phone (419) 228-3335

Other identifiers 1

IdentifierTypeStateIssuer
0170033MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jayla.balbaugh@lmpc.eclinicaldirectplus.com Health Information Exchange (HIE)

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
I20260304002902 OH Practitioner - Physician Assistant 4981186327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Toledo College of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1003 Bellefontaine Ave
Suite 125
Lima, OH 45804-1867
Phone (419) 998-8207

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50.010106RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Professional Corporation CurrentSince Feb 18, 2026 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1003 Bellefontaine Ave
Ste 125
Lima, OH 45804
Phone (419) 998-8207

1005 Bellefontaine Ave
Ste 260
Lima, OH 45804
Phone (419) 223-1702

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

Interoperability endpoints

  • Direct secure messaging: jayla.balbaugh@lmpc.eclinicaldirectplus.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 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": "1737504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1306658885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BELLEFONTAINE AVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458042800",
            "telephone_number": "419-228-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 BELLEFONTAINE AVE STE 125",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458041867",
            "telephone_number": "419-998-8207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALBAUGH",
        "first_name": "JAYLA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-22",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.010106RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0170033",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jayla.balbaugh@lmpc.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1003 Bellefontaine Ave Ste 125",
            "city": "Lima",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458041867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.