Individual provider Active NPI

Jennifer M Marangoni, PA

  • Physician Assistant
  • Columbus, OH
National Provider Identifier
1306880695
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.002379RX Issued in OH
Practice address
2600 Airport Dr Ste 200
Columbus, OH 43219-2242
Phone
(614) 259-0910
Fax
(614) 259-0614
NPI assigned
Jun 16, 2006
Last updated
Jul 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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 50.002379RX OH Primary

Addresses

Primary practice location

2600 Airport Dr Ste 200
Columbus, OH 43219-2242

Mailing address

2600 Airport Dr Ste 200
Columbus, OH 43219-2242
Phone (614) 259-0910

Other names 1

  • Jennifer M Womer Former name

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
I20051206000020 OH Practitioner - Physician Assistant 2961422902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2600 Airport Dr
Columbus, OH 43219-2242
Phone (614) 447-9495

625 Africa Rd
Westerville, OH 43082-0002

8050 E Main St
Suite 1200
Reynoldsburg, OH 43068-2575
Phone (614) 259-0923

Merit-based Incentive Payment System (MIPS)

Final score
87.04 of 100Reported as group
Quality
85.5
Improvement activities
40
Cost
83.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2379OHMDClinical Psychologist
50.002379RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians, Inc. Physician Assistant CurrentSince Jul 31, 2023 Accepting new patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients
Helping Hands Pediatric & Adolescent Medicine Inc. PastSince May 1, 2020 Accepting new patients
Mansfield Pediatrics Inc Past Accepting new patients
Children's Hospital Medical Center of Akron Past Accepting new patients

Locations

1264 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-6801

2600 Airport Dr
Ste 200
Columbus, OH 43219
Phone (614) 259-0910

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

655 Africa Rd
Westerville, OH 43082

Interoperability endpoints

  • Direct secure messaging: jmarangoni30917@copcp.medicity.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1306880695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 AIRPORT DR STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432192242",
            "telephone_number": "614-259-0910",
            "fax_number": "614-259-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 AIRPORT DR STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432192242",
            "telephone_number": "614-259-0910",
            "fax_number": "614-259-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARANGONI",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.002379RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WOMER",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.