Individual provider Active NPI

Olivia Jefferis, NP-C

  • Family Nurse Practitioner
  • Barnesville, OH
National Provider Identifier
1417324427
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.024193 Issued in OH
Practice address
1119 E Main St Ste 2
Barnesville, OH 43713-9145
Phone
(740) 425-5242
Fax
(740) 425-5243
NPI assigned
Aug 25, 2015
Last updated
Sep 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN105755 WV
Family Nurse Practitioner 363LF0000X APRN24193 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.024193 OH Primary
Registered Nurse 163W00000X RN371339 OH

Addresses

Primary practice location

1119 E Main St Ste 2
Barnesville, OH 43713-9145

Mailing address

1119 E Main St Ste 2
Barnesville, OH 43713-9145
Phone (740) 425-5242

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
I20200430001620 OH Practitioner - Nurse Practitioner 4385074079 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Hospital Dr
Barnesville, OH 43713-2000

639 W Main St
Barnesville, OH 43713-1039
Phone (740) 425-3941

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN371339OHMDRegistered Nurse
APRN24193OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Barnesville Hospital Association, Inc. CurrentSince Sep 12, 2022 Accepting new patients
Barnesville Hospital Association, Inc. CurrentSince Sep 12, 2022 Accepting new patients
Valley Radiologists Inc PastSince Apr 6, 2020 Accepting new patients

Locations

100 Hospital Dr
Barnesville, OH 43713
Phone (740) 425-3093

100 Hospital Dr
Ste 201
Barnesville, OH 43713
Phone (740) 425-5150

1119 E Main St
Ste 2
Barnesville, OH 43713
Phone (740) 425-5242

639 W Main St
Barnesville, OH 43713
Phone (740) 425-3941

66840 Belmont Morristown Rd
Belmont, OH 43718
Phone (740) 782-1031

Interoperability endpoints

  • Direct secure messaging: ojefferis347823@direct.wvuhsdirect.com

Organizations & group practices 3

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": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1417324427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 E MAIN ST STE 2",
            "city": "BARNESVILLE",
            "state": "OH",
            "postal_code": "437139145",
            "telephone_number": "740-425-5242",
            "fax_number": "740-425-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 E MAIN ST STE 2",
            "city": "BARNESVILLE",
            "state": "OH",
            "postal_code": "437139145",
            "telephone_number": "740-425-5242",
            "fax_number": "740-425-5243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERIS",
        "first_name": "OLIVIA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-25",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN105755",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN24193",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.024193",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN371339",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barnesville, OH

Sources for this page

Verify at the official NPI Registry.