Individual provider Active NPI

Jennifer Lynn Gilhooly, PA-C

  • Physician Assistant
  • Columbus, OH
National Provider Identifier
1366048555
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.006663RX Issued in OH
Practice address
6001 E Broad St
Columbus, OH 43213-1570
Phone
(614) 224-6420
NPI assigned
Dec 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.006663RX OH Primary

Addresses

Primary practice location

6001 E Broad St
Columbus, OH 43213-1570

Mailing address

2323 W 5TH Ave Ste 225
Columbus, OH 43204-4899
Phone (614) 224-6420

Other identifiers 1

IdentifierTypeStateIssuer
0427314MedicaidOH

Other names 1

  • Jennifer Lynn Borawski Former name

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
I20210119002067 OH Practitioner - Physician Assistant 9830502582 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.44 of 100Reported as group
Quality
88.85
Improvement activities
40
Cost
86.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Incare Health Solutions, LLC Physician Assistant CurrentSince Dec 15, 2020 Accepting new patients
Emergency Services, Inc. Past Accepting new patients

Locations

5059 N High St
Columbus, OH 43214
Phone (614) 987-7537

7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002

2562 W Market St
Tiffin, OH 44883
Phone (567) 938-8008

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.

NPI Registry JSON

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1366048555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 W 5TH AVE STE 225",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432044899",
            "telephone_number": "614-224-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131570",
            "telephone_number": "614-224-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILHOOLY",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-11",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006663RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0427314",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BORAWSKI",
            "middle_name": "LYNN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.