Individual provider Active NPI

Jennifer L Rust, APRN-CNP

  • Women's Health Nurse Practitioner
  • Springfield, OH
National Provider Identifier
1356741664
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APRNCNP15384 Issued in OH
Practice address
1108 Vester Ave
Springfield, OH 45503-1302
Phone
(937) 399-7100
Fax
(937) 399-7355
NPI assigned
Aug 25, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X APRNCNP15384 OH Primary

Addresses

Primary practice location

1108 Vester Ave
Springfield, OH 45503-1302

Mailing address

1108 Vester Ave
Springfield, OH 45503-1302
Phone (937) 399-7100

Other practice location 1

651 S Limestone St
Springfield, OH 45505-1965
Phone (937) 328-7260

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
I20141201001720 OH Practitioner - Nurse Practitioner 5890017941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Springfield Specialty Care LLCGroup PAC ID 4284059981, 129 clinicians

Practice addresses (Care Compare)

1108 Vester Ave
Springfield, OH 45503-1302
Phone (937) 339-7100

Hospital & facility affiliations

  • Springfield Regional Medical Center Hospital, Springfield, OH, CCN 360086
  • Ohio Valley Surgical Hospital Hospital, Springfield, OH, CCN 360355
  • Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
APRNCNP15384OHMDWomen's Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: jrust866745@direct.bsmhealth.org
  • Direct secure messaging: jennifer.rust.p1@direct.rockinghorsecenter.nextgenshare.com

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.

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": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1356741664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 VESTER AVE",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455031302",
            "telephone_number": "937-399-7100",
            "fax_number": "937-399-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 VESTER AVE",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455031302",
            "telephone_number": "937-399-7100",
            "fax_number": "937-399-7355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "651 S Limestone St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455051965",
            "country_code": "US",
            "telephone_number": "937-328-7260",
            "fax_number": "937-328-7258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUST",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-25",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "APRNCNP15384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.