Active NPI
Jennifer Ann Roscoe, CNP
- Family Nurse Practitioner
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- COA.18515-NP
- Practice address
- 2213 Cherry St
Toledo, OH 43608-2603 - Phone
- (419) 251-4223
- Fax
- (419) 251-5685
- NPI assigned
- Mar 11, 2016
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | COA.18515-NP | OH | Primary |
Addresses
Primary practice location
2213 Cherry St
Toledo, OH 43608-2603
Mailing address
2200 Jefferson Ave
Toledo, OH 43604-7101
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, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.18515-NP | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians - North, LLC | Current | Accepting new patients | |
| Mercy Health Physicians-North LLC | Current | Accepting new patients | |
| Wellbe Senior Medical Ohio LLC | Current | Accepting new patients |
Locations
4400 Easton Cmns
Ste 125
Columbus, OH 43219
Phone (514) 546-1900
6480 Rockside Woods Blvd S
Ste 330
Independence, OH 44131
Phone (855) 490-9434
5901 Monclova Rd
Maumee, OH 43537
Phone (419) 893-5911
3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126
2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283
2200 Jefferson Ave
Toledo, OH 43604
Phone (419) 241-1400
2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Toledo, OH
- NPI 1609000769
-
- Geriatric Medicine (Internal Medicine) Physician
- Independence, OH
- NPI 1497308456
-
- Customized Equipment (DME)
- Perrysburg, OH
- NPI 1992358766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580342400000",
"number": "1427419985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 JEFFERSON AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436047101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2213 CHERRY ST",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436082603",
"telephone_number": "419-251-4223",
"fax_number": "419-251-5685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSCOE",
"first_name": "JENNIFER",
"middle_name": "ANN",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-11",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA.18515-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 30, 2020; 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.