Active NPI
Jason D Stauffer
- Nurse Practitioner
- Chillicothe, OH
National Provider Identifier
1346705985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN.CNP.024147
- Practice address
- 922 Dry Run Rd
Chillicothe, OH 45601-9349 - Phone
- (740) 466-5751
- NPI assigned
- Feb 7, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN.CNP.024147 | OH | Primary |
Addresses
Primary practice location
922 Dry Run Rd
Chillicothe, OH 45601-9349
Mailing address
922 Dry Run Rd
Chillicothe, OH 45601-9349
Phone (740) 466-5751
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201110000252 | TX | Order and Referring Only - Nurse Practitioner | 6305256926 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549497600000",
"number": "1346705985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "922 DRY RUN RD",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456019349",
"telephone_number": "740-466-5751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "922 DRY RUN RD",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456019349",
"telephone_number": "740-466-5751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAUFFER",
"first_name": "JASON",
"middle_name": "D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-07",
"last_updated": "2019-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "APRN.CNP.024147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chillicothe, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.