Individual provider Active NPI

Jesiah Lou Bertsch

  • Advanced Practice Midwife
  • Cincinnati, OH
National Provider Identifier
1376867481
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
COA.11377-NM Issued in OH
Practice address
2139 Auburn Ave
Cincinnati, OH 45219-2906
Phone
(513) 721-2221
Fax
(513) 345-6665
NPI assigned
Mar 18, 2010
Last updated
Aug 28, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X COA.11377-NM OH Primary

Addresses

Primary practice location

2139 Auburn Ave
Cincinnati, OH 45219-2906

Mailing address

PO Box 636256
Cincinnati, OH 45263-6256
Phone (513) 245-3600

Other identifiers 1

IdentifierTypeStateIssuer
3083792MedicaidOH

Other names 1

  • Miss Jesiah Lou Jolly 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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101019000428 OH Practitioner - Certified Nurse Midwife (CNM) 6507058336 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.71 of 100Reported as group
Quality
83.07
Promoting interoperability
100
Improvement activities
40
Cost
79.29

Merit-based Incentive Payment System (MIPS)

Final score
82 of 100Reported as group
Quality
65.97
Promoting interoperability
100
Improvement activities
40
Cost
74.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
COA.11377-NMOHMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
The Christ Hospital Medical Associates, LLC CurrentSince Oct 1, 2018 Accepting new patients
University of Cincinnati Physicians Company, LLC CurrentSince Aug 19, 2018 Accepting new patients
Hyde Park Medical Associates, Inc. Current Accepting new patients
Associates of Anderson OB/GYN, Inc Past Accepting new patients

Locations

2123 Auburn Ave
#200
Cincinnati, OH 45219
Phone (513) 321-0833

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

2123 Auburn Ave
Ste 235
Cincinnati, OH 45219
Phone (513) 585-3238

2123 Auburn Ave
Ste 340
Cincinnati, OH 45219
Phone (513) 585-2288

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

2751 Ovarsity Way
Cincinnati, OH 45221
Phone (513) 556-2564

2830 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 245-3335

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

8000 5 Mile Rd
Ste 207
Cincinnati, OH 45230
Phone (513) 233-2444

Interoperability endpoints

  • Direct secure messaging: jbertsch240726@direct.uchealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1376867481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636256",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636256",
            "telephone_number": "513-245-3600",
            "fax_number": "513-245-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 AUBURN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-721-2221",
            "fax_number": "513-345-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTSCH",
        "first_name": "JESIAH",
        "middle_name": "LOU",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-18",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "COA.11377-NM",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3083792",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESIAH",
            "last_name": "JOLLY",
            "middle_name": "LOU",
            "prefix": "MISS",
            "credential": "C.N.M.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.