Individual provider Active NPI

Jessica Lynn Ellsesser, CNP

  • Family Nurse Practitioner
  • Hilliard, OH
National Provider Identifier
1326586157
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.19229 Issued in OH
Practice address
3823 Trueman CT
Hilliard, OH 43026
Phone
(614) 876-9558
Fax
(614) 876-9570
NPI assigned
Jan 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.19229 OH Primary

Addresses

Primary practice location

3823 Trueman CT
Hilliard, OH 43026

Mailing address

3823 Trueman CT
Hilliard, OH 43026-2496
Phone (614) 876-9558

Other identifiers 1

IdentifierTypeStateIssuer
0205136MedicaidOH

Other names 1

  • Jessica Lynn Richardson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessica.ellsessercnp.p22@direct.ahni.nextgenshare.com Direct

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
I20170220002551 OH Practitioner - Nurse Practitioner 2668755547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3823 Trueman CT
Hilliard, OH 43026-2496
Phone (614) 876-9558

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.19229OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Network of Ohio, LLC Family Current Accepting new patients
American Health Network of Ohio, LLC Family Current Accepting new patients
American Health Network of Ohio, LLC CurrentSince Jan 2, 2019 Accepting new patients
American Health Network of Ohio, LLC Family Past Accepting new patients

Locations

2500 Corporate Exchange Dr
Ste 100
Columbus, OH 43231
Phone (614) 794-4500

3823 Trueman Ct
Hilliard, OH 43026
Phone (614) 876-9558

Interoperability endpoints

  • Direct secure messaging: jellsesser211480@direct.optum.com

Organizations & group practices 4

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 2

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": "1485820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1326586157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3823 TRUEMAN CT",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430262496",
            "telephone_number": "614-876-9558",
            "fax_number": "614-879-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3823 TRUEMAN CT",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "43026",
            "telephone_number": "614-876-9558",
            "fax_number": "614-876-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLSESSER",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-31",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.19229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0205136",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.ellsessercnp.p22@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3823 Trueman Ct",
            "city": "Hilliard",
            "state": "OH",
            "country_code": "US",
            "postal_code": "43026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "RICHARDSON",
            "middle_name": "LYNN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hilliard, OH

Sources for this page

Verify at the official NPI Registry.