Active NPI
Jessica R Grove, CNP
- Nurse Practitioner
- Toledo, OH
National Provider Identifier
1407133697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 12763
- Practice address
- 1913 Belvoir Dr
Toledo, OH 43613-2801 - Phone
- (419) 787-9829
- NPI assigned
- Nov 16, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 12763 | OH | Primary |
Addresses
Primary practice location
1913 Belvoir Dr
Toledo, OH 43613-2801
Mailing address
1913 Belvoir Dr
Toledo, OH 43613-2801
Phone (419) 787-9829
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0056949 | Medicaid | OH |
Other names 1
- Jessica R Echelberry
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12763 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Toledo Hospital | Current | Accepting new patients | |
| Consultants in Laboratory Medicine of Greater Toledo | Current | Accepting new patients | |
| Haematology-Oncology Associates of Ohio and Michigan PC | Current | Accepting new patients | |
| The Toledo Hospital | Current | Accepting new patients | |
| The Toledo Hospital | Current | Accepting new patients |
Locations
1601 Brigham Dr
Ste 150
Perrysburg, OH 43551
Phone (419) 794-7700
2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111
2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112
Interoperability endpoints
- jgrove12861@direct.promedica.org
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
-
- Anatomic Pathology & Clinical Pathology Physician
- Toledo, OH
- NPI 1982673372
-
- Clinical Psychologist
- Toledo, OH
- NPI 1083843031
-
- Community/Retail Pharmacy
- Toledo, OH
- NPI 1740217678
-
- Hematology & Oncology Physician
- Lambertville, MI
- NPI 1841296605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562630400000",
"number": "1407133697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1913 BELVOIR DR",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436132801",
"telephone_number": "419-787-9829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1913 BELVOIR DR",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436132801",
"telephone_number": "419-787-9829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROVE",
"first_name": "JESSICA",
"middle_name": "R",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-16",
"last_updated": "2019-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "12763",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0056949",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "ECHELBERRY",
"middle_name": "R",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.