Jessica Madden, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.17634 Issued in OH

Practice address

2841 Munding Dr
Oregon, OH 43616-3290

Phone

(419) 697-4100

Fax

(216) 749-0141

NPI assigned

Jun 25, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jmadden27273@direct.promedica.org

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.

• Caremed Ohio LLC

  • Multi-Specialty Clinic/Center
  • Kenton, OH
  • NPI 1669123949
  Medicare reassignment NPD
• Kingston Care Partners, LLC

  • Nursing Care Agency
  • Toledo, OH
  • NPI 1609185180
  Medicare reassignment NPD
• Promedica Central Physicians

  • Family Medicine Physician
  • Toledo, OH
  • NPI 1043270150
  Medicare reassignment NPD
• Trilogy NP, LLC

  • Nursing Care Agency
  • Louisville, KY
  • NPI 1740159151

  OH

  Medicare reassignment
• Promedica Central Physicians

  • Durable Medical Equipment & Medical Supplies
  • Toledo, OH
  • NPI 1669068482
  NPD

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1366824401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 OLD HICKORY LN",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435289570",
            "telephone_number": "419-270-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 MUNDING DR",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163290",
            "telephone_number": "419-697-4100",
            "fax_number": "216-749-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-25",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.17634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0144354",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Luebke, PHARMD, RPH
• Luther Hill Oregon
• Luther Ridge
• M Razi Rafeeq MD Inc
• Stephanie Macmain
• Kathy Madison
• Manuel V Madrazo, MD
• Kewal K Mahajan, M.D.
• Jamie Mahaney, DC
• Jeffrey Mahaney, DC

• Family Nurse Practitioner in Oregon, OH
• Providers in Oregon, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.

Verify at the official NPI Registry.