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Individual provider Active NPI

Jennifer E Stull, MD

  • Family Medicine Physician
  • Findlay, OH
National Provider Identifier
1346569522
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35099488 Issued in OH
Practice address
15840 Medical Dr S
Suite B
Findlay, OH 45840-7833
Phone
(419) 425-3780
Fax
(419) 425-6781
NPI assigned
May 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35099488 OH Primary

Addresses

Primary practice location

15840 Medical Dr S
Suite B
Findlay, OH 45840-7833

Mailing address

15840 Medical Dr S
Suite B
Findlay, OH 45840-7833
Phone (419) 425-3780

Other names 1

  • Jennifer E Kelbley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130802000391 OH Practitioner - Family Practice 4880832138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blanchard Valley Medical Practice LLCGroup PAC ID 9234168147, 72 clinicians

Practice addresses (Care Compare)

15840 Medical S Dr
Findlay, OH 45840-7833
Phone (419) 423-3780

3949 N Main St
Suite B
Findlay, OH 45840-4208
Phone (419) 423-3888

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35099488OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blanchard Valley Medical Practice LLC Family Medicine CurrentSince Jul 15, 2013 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

15840 Medical Dr S
Findlay, OH 45840
Phone (419) 423-3780

3949 N Main St
Ste B
Findlay, OH 45840
Phone (419) 423-3888

15840 Medical Dr S
Ste B
Findlay, OH 45840
Phone (419) 423-4500

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

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 5

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": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1346569522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15840 MEDICAL DR S",
            "address_2": "SUITE B",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458407833",
            "telephone_number": "419-425-3780",
            "fax_number": "419-425-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15840 MEDICAL DR S",
            "address_2": "SUITE B",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458407833",
            "telephone_number": "419-425-3780",
            "fax_number": "419-425-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STULL",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-27",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35099488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KELBLEY",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Findlay, OH

Sources for this page

Verify at the official NPI Registry.