Jenna Rae Stoffel, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.007115 Issued in OH

Practice address

6725 Miami Ave Ste 101
Cincinnati, OH 45243-3158

Phone

(513) 561-7076

NPI assigned

Mar 27, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Indiana University - School of Optometry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Jenna Stoffel and Associates LLCGroup PAC ID 2769963149, 3 clinicians

Dr. Malinda Pence and Associates, IncGroup PAC ID 4385857952, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jenna.stoffel@direct.revolutionehr.com

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.

• Dr Jenna Stoffel & Associates LLC

  • Optometrist
  • Cincinnati, OH
  • NPI 1942172689
  Medicare reassignment Care Compare group NPD Authorized official
• Dr. Malinda Pence & Associates, Inc

  • Optometrist
  • Cincinnati, OH
  • NPI 1801075379
  Medicare reassignment Care Compare group
• Fagedes and Garrity, LLC

  • Optometrist
  • Cincinnati, OH
  • NPI 1649504481
  NPD (past)
• Dr Henry a Hull Optometrist, Inc

  • Optometrist
  • New Braunfels, TX
  • NPI 1467471516
  NPD (past)

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1396373379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6725 MIAMI AVE STE 101",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452433158",
            "telephone_number": "513-561-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6725 MIAMI AVE STE 101",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452433158",
            "telephone_number": "513-561-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOFFEL",
        "first_name": "JENNA",
        "middle_name": "RAE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007115",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "61062249",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD.OD.61062249",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2190934",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Stockton
• Carolyn Stockwell
• Ellie M Stoddart
• Jennifer J Stoeckel, PH.D.
• Heather Stoess, BA
• Mark Turpin Stoffregen, D.D.S.
• Hanna Stohlman
• Alisha Stokes
• Chanel Stokes
• Charles William Stokes, MSW, LSW

• Optometrist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.