Individual provider Active NPI

Jodi C Bennett, CNP

  • Family Nurse Practitioner
  • Chillicothe, OH
National Provider Identifier
1396808150
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.05280 Issued in OH
Practice address
311 Caldwell St
Chillicothe, OH 45601-3332
Phone
(740) 775-6119
Fax
(740) 775-6999
NPI assigned
Dec 19, 2006
Last updated
Dec 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.05280 OH Primary

Addresses

Primary practice location

311 Caldwell St
Chillicothe, OH 45601-3332

Mailing address

311 Caldwell St
Chillicothe, OH 45601-3332
Phone (740) 775-6119

Other identifiers 1

IdentifierTypeStateIssuer
000000346088OtherOHPROVIDER BCBS NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adena@adena.medicity.net

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
I20050524000306 OH Practitioner - Nurse Practitioner 4587606223 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adena Medical Group LLCGroup PAC ID 1153456579, 384 clinicians

Practice addresses (Care Compare)

60 Capital Dr
Chillicothe, OH 45601-1186
Phone (740) 779-4100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.05280OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adena Medical Group LLC CurrentSince Jan 1, 2020 Accepting new patients
Internal Medicine and Geriatrics Services, LLC Nurse Practitioner CurrentSince Nov 1, 2015 Accepting new patients

Locations

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

272 Hospital Rd
Ste 6
Chillicothe, OH 45601

311 Caldwell St
Chillicothe, OH 45601
Phone (740) 775-6119

4439 State Route 159
Ste 130
Chillicothe, OH 45601
Phone (740) 779-4360

60 Capital Dr
Chillicothe, OH 45601
Phone (740) 779-4100

5900 Meadow Creek Dr
Milford, OH 45150
Phone (513) 248-1655

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

Interoperability endpoints

  • Direct secure messaging: adena@adena.medicity.net
  • Direct secure messaging: jbennett1061338@direct.osumc.edu

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1396808150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 CALDWELL ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456013332",
            "telephone_number": "740-775-6119",
            "fax_number": "740-775-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 CALDWELL ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456013332",
            "telephone_number": "740-775-6119",
            "fax_number": "740-775-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "JODI",
        "middle_name": "C",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.05280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER BCBS NUMBER",
            "identifier": "000000346088",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena@adena.medicity.net",
            "affiliation": "N",
            "address_1": "311 Caldwell St",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456013332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.