Individual provider Active NPI

Jillian Lassen, FNP

  • Family Nurse Practitioner
  • Westlake, OH
National Provider Identifier
1326613852
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F05210140 Issued in OH
Practice address
29055 Clemens Rd Ste a
Westlake, OH 44145-1135
Phone
(216) 450-1613
NPI assigned
May 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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 F05210140 OH Primary

Addresses

Primary practice location

29055 Clemens Rd Ste a
Westlake, OH 44145-1135

Mailing address

PO Box 844020
Dallas, TX 75284-4020
Phone (216) 450-1613

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
I20210804004144 OH Practitioner - Nurse Practitioner 8921402488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Recovery Concepts, LLCGroup PAC ID 5991005860, 37 clinicians

Practice addresses (Care Compare)

29055 Clemens Rd
Suite a
Westlake, OH 44145-1135
Phone (216) 450-1613

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F05210140OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Recovery Concepts LLC Nurse Practitioner CurrentSince Jul 18, 2021 Accepting new patients

Locations

25700 Science Park Dr
Ste 210
Beachwood, OH 44122
Phone (216) 452-1613

1730 W 25th St
Cleveland, OH 44113
Phone (216) 696-4300

29055 Clemens Rd
#A
Westlake, OH 44145

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1326613852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844020",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844020",
            "telephone_number": "216-450-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29055 CLEMENS RD STE A",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451135",
            "telephone_number": "216-450-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASSEN",
        "first_name": "JILLIAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-26",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "F05210140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.