Individual provider Active NPI

Jessica Huffman, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Willoughby, OH
National Provider Identifier
1376959239
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.16250 Issued in OH
Practice address
4212 State Route 306 Ste 100
Willoughby, OH 44094-9248
Phone
(216) 468-5000
NPI assigned
Jul 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.353185 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.16250 OH Primary

Addresses

Primary practice location

4212 State Route 306 Ste 100
Willoughby, OH 44094-9248

Mailing address

6196 Painesville Warren Rd
Painesville, OH 44077-9746
Phone (440) 241-9106

Other names 1

  • Jessica Dayton 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
I20150908002105 OH Practitioner - Nurse Practitioner 5597071415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

9500 Mentor Ave
Suite 220
Mentor, OH 44060-8714
Phone (216) 468-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.353185OHMDRegistered Nurse
APRN.CNP.16250OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Behavioral Consultants, LLC CurrentSince Oct 1, 2018 Accepting new patients
Multicare Health System Past Accepting new patients

Locations

9500 Mentor Ave
Ste 220
Mentor, OH 44060
Phone (440) 357-7100

25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520

4212 State Route 306
Ste 100
Willoughby, OH 44094
Phone (440) 973-8400

34900 Chardon Rd
Ste 200
Willoughby Hills, OH 44094
Phone (440) 951-5600

Interoperability endpoints

  • Direct secure messaging: pbc.jessicahuffman@140094.advancedmd-direct.com

Organizations & group practices 2

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": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1376959239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6196 PAINESVILLE WARREN RD",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440779746",
            "telephone_number": "440-241-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 STATE ROUTE 306 STE 100",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440949248",
            "telephone_number": "216-468-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFMAN",
        "first_name": "JESSICA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-10",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.353185",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.16250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "DAYTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Willoughby, OH

Sources for this page

Verify at the official NPI Registry.